TRACY B PIERSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008126

License Status

INACTIVE

Business

First Name

TRACY B

Last Name

PIERSON

Business Name

TRACY B PIERSON

Original Issue Date

10/14/1993

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

LEAVENWORTH

State

Zip

66048

County

KANSAS

Ever Disciplined

LastModifiedDate

07/24/2006