TAMMY SUE MATHIAS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004834

License Status

NOT RENEWED

Business

First Name

TAMMY SUE

Last Name

MATHIAS

Business Name

TAMMY SUE MATHIAS

Original Issue Date

06/28/1982

Effective Date

06/28/1982

Expiration Date

09/30/1998

City

BROKEN ARROW

State

Zip

74012

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

10/12/2005