MADISON LEA MALTBY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015500

License Status

NOT RENEWED

Business

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

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/31/2018