KACY R HUFFMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012724

License Status

NOT RENEWED

Business

First Name

KACY

Middle

Last Name

HUFFMAN

Business Name

KACY R HUFFMAN

Original Issue Date

11/21/2008

Effective Date

09/04/2009

Expiration Date

09/30/2012

City

EVANSVILLE

State

Zip

53536

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2012