MARDEE ROSE HALLOCK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009209

License Status

INACTIVE

Business

First Name

MARDEE

Middle

ROSE

Last Name

HALLOCK

Business Name

MARDEE ROSE HALLOCK

Original Issue Date

07/16/1998

Effective Date

10/02/2018

Expiration Date

12/31/2021

City

BRAZIL

State

Zip

47834

County

CLAY

Ever Disciplined

LastModifiedDate

09/12/2021