SANDRA DEBAULT FREY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010710

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

DEBAULT

Last Name

FREY

Business Name

SANDRA DEBAULT FREY

Original Issue Date

07/11/2003

Effective Date

12/31/2021

Expiration Date

09/30/2024

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

02/04/2025