MEGAN MARIAH LAWRENCE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010432

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

MARIAH

Last Name

LAWRENCE

Business Name

MEGAN MARIAH LAWRENCE

Original Issue Date

08/02/2002

Effective Date

09/25/2012

Expiration Date

09/30/2015

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

04/25/2016