ASHLIE A LIVELY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012113

License Status

NOT RENEWED

Business

First Name

ASHLIE

Middle

Last Name

LIVELY

Business Name

ASHLIE A LIVELY

Original Issue Date

06/20/2007

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

ERIE

State

Zip

61250

County

HENRY

Ever Disciplined

LastModifiedDate

05/09/2022