MELISSA A HUDSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010956

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

HUDSON

Business Name

MELISSA A HUDSON

Original Issue Date

06/18/2004

Effective Date

09/25/2012

Expiration Date

09/30/2015

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/25/2016