SHIRLEY JOANN HAAG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004366

License Status

NOT RENEWED

Business

First Name

SHIRLEY JOANN

Last Name

HAAG

Business Name

SHIRLEY JOANN HAAG

Original Issue Date

09/24/1980

Effective Date

09/24/1980

Expiration Date

09/30/1984

City

SHOALS

State

Zip

47581

Ever Disciplined

LastModifiedDate

10/12/2005