MARION R WEST Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016006

License Status

INACTIVE

Business

First Name

MARION

Middle

Last Name

WEST

Business Name

MARION R WEST

Original Issue Date

10/17/2017

Effective Date

09/05/2018

Expiration Date

09/30/2021

City

GOLCONDA

State

Zip

62938

County

POPE

Ever Disciplined

LastModifiedDate

09/05/2018