HAZEL M HENRY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013082

License Status

INACTIVE

Business

First Name

HAZEL

Middle

Last Name

HENRY

Business Name

HAZEL M HENRY

Original Issue Date

11/10/2009

Effective Date

09/24/2012

Expiration Date

09/30/2015

City

LAS VEGAS

State

Zip

89123

County

NEVADA

Ever Disciplined

LastModifiedDate

06/08/2015