DORA ANN POTTS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011441

License Status

INACTIVE

Business

First Name

DORA

Middle

ANN

Last Name

POTTS

Business Name

DORA ANN POTTS

Original Issue Date

07/28/2005

Effective Date

09/27/2018

Expiration Date

12/31/2021

City

GOODFIELD

State

Zip

61742

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/28/2021