PATRICE I SKINNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009850

License Status

NOT RENEWED

Business

First Name

PATRICE

Middle

Last Name

SKINNER

Business Name

PATRICE I SKINNER

Original Issue Date

07/10/2000

Effective Date

08/24/2015

Expiration Date

09/30/2018

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/31/2018