BETHANY SANDRA HENNESSY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014924

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

SANDRA

Last Name

HENNESSY

Business Name

BETHANY SANDRA HENNESSY

Original Issue Date

09/16/2014

Effective Date

06/25/2015

Expiration Date

09/30/2018

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/31/2018