CHASIDY DAWN FARMER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011079

License Status

NOT RENEWED

Business

First Name

CHASIDY

Middle

DAWN

Last Name

FARMER

Business Name

CHASIDY DAWN FARMER

Original Issue Date

07/07/2004

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

11/04/2009