TRACEY ELLEN CONN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004046

License Status

INACTIVE

Business

First Name

TRACEY ELLEN

Last Name

CONN

Business Name

TRACEY ELLEN CONN

Original Issue Date

10/26/1979

Effective Date

10/26/1979

Expiration Date

09/30/1998

City

WEST BLOOMFIELD

State

Zip

48322

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005