CAROL MARIE GUSTAVSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000356

License Status

NOT RENEWED

Business

First Name

CAROL MARIE

Last Name

GUSTAVSON

Business Name

CAROL MARIE GUSTAVSON

Original Issue Date

01/21/1958

Effective Date

01/21/1958

Expiration Date

09/30/1984

City

ALEXANDRIA

State

Zip

22308

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/12/2005