KATY NORENE HERBERT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013524

License Status

INACTIVE

Business

First Name

KATY

Middle

NORENE

Last Name

HERBERT

Business Name

KATY NORENE HERBERT

Original Issue Date

06/10/2011

Effective Date

06/10/2011

Expiration Date

09/30/2012

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/06/2012