MARILYN RAE WHITE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003779

License Status

INACTIVE

Business

First Name

MARILYN RAE

Last Name

WHITE

Business Name

MARILYN RAE WHITE

Original Issue Date

04/27/1979

Effective Date

04/27/1979

Expiration Date

09/30/1994

City

OCANOMOWAC

State

Zip

53066

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005