NAOMI CAMILLE FOTHERGILL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011651

License Status

INACTIVE

Business

First Name

NAOMI

Middle

CAMILLE

Last Name

FOTHERGILL

Business Name

NAOMI CAMILLE FOTHERGILL

Original Issue Date

06/15/2006

Effective Date

09/24/2018

Expiration Date

12/31/2021

City

BALTIMORE

State

Zip

21224

Ever Disciplined

LastModifiedDate

12/16/2021