MADISON LEA MALTBY - Dentist License in Illinois | # 020015500

MADISON LEA MALTBY

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015500

License Status

NOT RENEWED

Business

N

First Name

MADISON

Middle

LEA

Last Name

MALTBY

Business Name

MADISON LEA MALTBY

Original Issue Date

07/06/2016

Effective Date

07/06/2016

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018