GENA M EADE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011357

License Status

NOT RENEWED

Business

First Name

GENA

Middle

Last Name

EADE

Business Name

GENA M EADE

Original Issue Date

06/30/2005

Effective Date

12/21/2021

Expiration Date

09/30/2024

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

02/04/2025