CASEY NICOLE CARLBERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014090

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

NICOLE

Last Name

CARLBERG

Business Name

CASEY NICOLE CARLBERG

Original Issue Date

07/30/2012

Effective Date

06/13/2018

Expiration Date

01/31/2022

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/09/2022