MEGAN LEANN MARTIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016110

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

LEANN

Last Name

MARTIN

Business Name

MEGAN LEANN MARTIN

Original Issue Date

04/30/2018

Effective Date

04/30/2018

Expiration Date

09/30/2018

City

NORRIS CITY

State

Zip

62869

County

WHITE

Ever Disciplined

LastModifiedDate

10/31/2018