SARAH A DEATHERAGE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010526

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

DEATHERAGE

Business Name

SARAH A DEATHERAGE

Original Issue Date

01/30/2003

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

MARINE

State

Zip

62061

County

MADISON

Ever Disciplined

LastModifiedDate

05/09/2022