BRITTANI ANN GRAHAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014675

License Status

NOT RENEWED

Business

First Name

BRITTANI

Middle

ANN

Last Name

GRAHAM

Business Name

BRITTANI ANN GRAHAM

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

09/30/2015

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

04/25/2016