DEETTA PROSE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005866

License Status

NOT RENEWED

Business

First Name

DEETTA

Last Name

PROSE

Business Name

DEETTA PROSE

Original Issue Date

07/19/1985

Effective Date

07/19/1985

Expiration Date

09/30/1998

City

COLUMBIA

State

Zip

29212

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

10/12/2005