MARCIE E GIST Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005447

License Status

INACTIVE

Business

First Name

MARCIE E

Last Name

GIST

Business Name

MARCIE E GIST

Original Issue Date

01/25/1984

Effective Date

01/25/1984

Expiration Date

09/30/2004

City

ALEXANDRIA

State

Zip

71303

County

LOUISIANA

Ever Disciplined

LastModifiedDate

10/17/2005