CARLA JEAN AXTON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012642

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

JEAN

Last Name

AXTON

Business Name

CARLA JEAN AXTON

Original Issue Date

08/05/2008

Effective Date

08/10/2009

Expiration Date

09/30/2012

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

11/14/2012