MELISSA FAYE DICKENSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010041

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

FAYE

Last Name

DICKENSON

Business Name

MELISSA FAYE DICKENSON

Original Issue Date

07/19/2001

Effective Date

07/19/2001

Expiration Date

09/30/2002

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005