SANDRA L MATHIASON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007345

License Status

NOT RENEWED

Business

First Name

SANDRA L

Last Name

MATHIASON

Business Name

SANDRA L MATHIASON

Original Issue Date

01/29/1991

Effective Date

01/29/1991

Expiration Date

09/30/1994

City

BROOKINGS

State

Zip

57006

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

10/12/2005