Lacy Sue Payne
Dental Anesthesia Assistant Certification
Overview
Lacy Sue Payne is a health care provider licensed by State of Washington, Department of Health.
The credential number is #AA60860042.
The credential type is Dental Anesthesia Assistant Certification.
Credential Information
Credential Number |
AA60860042 |
Full Name |
Lacy Sue Payne |
Last Name |
Payne |
First Name |
Lacy |
Middle Name |
Sue |
Credential Type |
Dental Anesthesia Assistant Certification |
Status |
ACTIVE |
Birth Year |
1987 |
CE Due Date |
2025-08-04 (Continuing Education Due) |
First Issue Date |
2021-12-27 |
Last Issue Date |
2021-12-27 |
Expiration Date |
2022-08-04 |
Action Taken |
No |
All Credentials
Credential Number | Credential Type | Status | First Issue Date | Last Issue Date | Expiration Date |
AA60860042 | Dental Anesthesia Assistant Certification | ACTIVE | 2021-12-27 | 2021-12-27 | 2022-08-04 |
D160538464 | Dental Assistant Registration | ACTIVE | 2015-02-05 | 2021-08-10 | 2022-08-04 |
Credential History
Full Name | Credential Type | First Issue Date | Last Issue Date | Expiration Date |
Lacy Sue Payne | Dental Anesthesia Assistant Certification | | | |
Lacy Sue Payne | Dental Anesthesia Assistant Certification | 2021-12-27 | 2021-12-27 | 2022-08-04 |
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Providers with similar names
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Melissa Ann Lacy |
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Korinne K Lacy |
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