LACY JO MAULDING Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015890

License Status

ACTIVE

Business

First Name

LACY

Middle

Last Name

MAULDING

Business Name

LACY JO MAULDING

Original Issue Date

08/01/2017

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

CHARLESTION

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

08/20/2024