BIANCA P CARMONA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012978

License Status

NOT RENEWED

Business

First Name

BIANCA

Middle

Last Name

CARMONA

Business Name

BIANCA P CARMONA

Original Issue Date

07/07/2009

Effective Date

07/11/2018

Expiration Date

01/31/2022

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/09/2022