LATREICE S SHAMBLE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014931

License Status

NOT RENEWED

Business

First Name

LATREICE

Middle

Last Name

SHAMBLE

Business Name

LATREICE S SHAMBLE

Original Issue Date

09/22/2014

Effective Date

09/22/2014

Expiration Date

09/30/2015

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/25/2016