ASHLEY MARIE FALL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012683

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

MARIE

Last Name

FALL

Business Name

ASHLEY MARIE FALL

Original Issue Date

09/17/2008

Effective Date

07/05/2012

Expiration Date

09/30/2015

City

JACKSON

State

Zip

49201

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/25/2016