AUTUMN LEIGH STANLEY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012446

License Status

INACTIVE

Business

First Name

AUTUMN

Middle

LEIGH

Last Name

STANLEY

Business Name

AUTUMN LEIGH STANLEY

Original Issue Date

06/13/2008

Effective Date

09/21/2009

Expiration Date

09/30/2012

City

VANDALIA

State

Zip

62471

Ever Disciplined

LastModifiedDate

06/06/2012