BROOKLYN R SIMONTON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010677

License Status

NOT RENEWED

Business

First Name

BROOKLYN

Middle

Last Name

SIMONTON

Business Name

BROOKLYN R SIMONTON

Original Issue Date

07/09/2003

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

05/09/2022