LINDA SUE BULLOCK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011159

License Status

NOT RENEWED

Business

First Name

LINDA

Middle

SUE

Last Name

BULLOCK

Business Name

LINDA SUE BULLOCK

Original Issue Date

09/07/2004

Effective Date

09/30/2009

Expiration Date

09/30/2012

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/14/2012