ADA YVONNE BAZEMORE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014264

License Status

NOT RENEWED

Business

First Name

ADA

Middle

YVONNE

Last Name

BAZEMORE

Business Name

ADA YVONNE BAZEMORE

Original Issue Date

04/09/2013

Effective Date

04/09/2013

Expiration Date

09/30/2015

City

RACINE

State

Zip

53403

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/25/2016