DAPHNE MICHELLE MADRID Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009356

License Status

INACTIVE

Business

First Name

DAPHNE

Middle

MICHELLE

Last Name

MADRID

Business Name

DAPHNE MICHELLE MADRID

Original Issue Date

09/16/1998

Effective Date

08/10/2009

Expiration Date

09/30/2012

City

CEDAR PARK

State

Zip

78613

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

06/06/2012