SANDRA ROSE MASON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012029

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

ROSE

Last Name

MASON

Business Name

SANDRA ROSE MASON

Original Issue Date

06/11/2007

Effective Date

06/11/2007

Expiration Date

09/30/2009

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

11/04/2009