HOLLY BETH WIGGINS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010046

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

BETH

Last Name

WIGGINS

Business Name

HOLLY BETH WIGGINS

Original Issue Date

07/26/2001

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/09/2022