CASEY MAXCINE FARES Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014148

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

MAXCINE

Last Name

FARES

Business Name

CASEY MAXCINE FARES

Original Issue Date

08/13/2012

Effective Date

09/29/2015

Expiration Date

09/30/2018

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/31/2018