HILLARIE RYANN HUDSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

Title

DMD

First Name

HILLARIE

Middle

RYANN

Last Name

HUDSON

Business Name

HILLARIE RYANN HUDSON DMD

Original Issue Date

09/15/2011

Effective Date

09/15/2011

Expiration Date

09/30/2012

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/14/2012