LORI ANN CASSITY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013410

License Status

NOT RENEWED

Business

First Name

LORI

Middle

ANN

Last Name

CASSITY

Business Name

LORI ANN CASSITY

Original Issue Date

09/16/2010

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

04/25/2016