MELISSA C ROOT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011365

License Status

INACTIVE

Business

First Name

MELISSA

Middle

Last Name

ROOT

Business Name

MELISSA C ROOT

Original Issue Date

07/06/2005

Effective Date

08/28/2009

Expiration Date

09/30/2012

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/06/2012