MELANY FAWNE THIEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011565

License Status

NOT RENEWED

Business

First Name

MELANY

Middle

FAWNE

Last Name

THIEN

Business Name

MELANY FAWNE THIEN

Original Issue Date

12/06/2005

Effective Date

09/16/2015

Expiration Date

09/30/2018

City

NEW BADEN

State

Zip

62265

County

CLINTON

Ever Disciplined

LastModifiedDate

05/30/2025