DENNIS GARRETT MD Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000211

License Status

NOT RENEWED

Business

First Name

DENNIS

Last Name

GARRETT

Suffix

Business Name

DENNIS GARRETT MD

Original Issue Date

10/15/2008

Effective Date

05/03/2010

Expiration Date

04/30/2012

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/13/2012