MEGAN LEE FALCONIO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011009

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

LEE

Last Name

FALCONIO

Business Name

MEGAN LEE FALCONIO

Original Issue Date

06/24/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/29/2007