TARA D FREEBOURN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010971

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

FREEBOURN

Business Name

TARA D FREEBOURN

Original Issue Date

06/21/2004

Effective Date

09/26/2012

Expiration Date

09/30/2015

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

04/25/2016