BRENDA J WILLARD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010841

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

Last Name

WILLARD

Business Name

BRENDA J WILLARD

Original Issue Date

10/29/2003

Effective Date

10/01/2015

Expiration Date

09/30/2018

City

URSA

State

Zip

62376

County

ADAMS

Ever Disciplined

LastModifiedDate

10/31/2018