KATHLEEN MARY FALLON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004775

License Status

NOT RENEWED

Business

First Name

KATHLEEN MARY

Last Name

FALLON

Business Name

KATHLEEN MARY FALLON

Original Issue Date

12/28/1981

Effective Date

12/28/1981

Expiration Date

09/30/1984

City

ROYAL OAK

State

Zip

48073

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005