MARCI L WILLIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011222

License Status

NOT RENEWED

Business

First Name

MARCI

Middle

Last Name

WILLIS

Business Name

MARCI L WILLIS

Original Issue Date

01/03/2005

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

05/10/2007