AUDREY MARIE MUSSELMAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014452

License Status

INACTIVE

Business

First Name

AUDREY

Middle

MARIE

Last Name

MUSSELMAN

Business Name

AUDREY MARIE MUSSELMAN

Original Issue Date

08/07/2013

Effective Date

09/21/2015

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/07/2018