MARIE SHARLENE AYEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010893

License Status

NOT RENEWED

Business

First Name

MARIE

Middle

SHARLENE

Last Name

AYEN

Business Name

MARIE SHARLENE AYEN

Original Issue Date

04/19/2004

Effective Date

08/20/2018

Expiration Date

01/31/2022

City

BELOIT

State

Zip

53511

Ever Disciplined

LastModifiedDate

05/09/2022