STACY ANN JOSEPH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009988

License Status

INACTIVE

Business

First Name

STACY

Middle

ANN

Last Name

JOSEPH

Business Name

STACY ANN JOSEPH

Original Issue Date

06/01/2001

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/24/2006