BRENDA LOY WILSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009720

License Status

INACTIVE

Business

First Name

BRENDA

Middle

LOY

Last Name

WILSON

Business Name

BRENDA LOY WILSON

Original Issue Date

04/17/2000

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

UNION

State

Zip

63084

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/24/2006