SANDY GAIL MACHOLL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010163

License Status

INACTIVE

Business

First Name

SANDY

Middle

GAIL

Last Name

MACHOLL

Business Name

SANDY GAIL MACHOLL

Original Issue Date

09/07/2001

Effective Date

09/07/2001

Expiration Date

09/30/2004

City

GRANTS PASS

State

Zip

97526

Ever Disciplined

LastModifiedDate

10/17/2005