MARGARET ELLEN CARLSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009684

License Status

NOT RENEWED

Business

First Name

MARGARET

Middle

ELLEN

Last Name

CARLSON

Business Name

MARGARET ELLEN CARLSON

Original Issue Date

02/02/2000

Effective Date

02/02/2000

Expiration Date

09/30/2002

City

HOMER

State

Zip

61849

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005