BRIDGET C BENNETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011775

License Status

NOT RENEWED

Business

First Name

BRIDGET

Middle

Last Name

BENNETT

Business Name

BRIDGET C BENNETT

Original Issue Date

06/30/2006

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

11/14/2012