SCOTT T CULLEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009822

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

CULLEN

Business Name

SCOTT T CULLEN

Original Issue Date

06/29/2000

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

04/25/2016