KIMBERLY R RAYFORD - Dentist License in Illinois | # 018001360

KIMBERLY R RAYFORD

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001360

License Status

EXPIRED

Business

N

First Name

KIMBERLY

Middle

R

Last Name

RAYFORD

Business Name

KIMBERLY R RAYFORD

Original Issue Date

07/17/2002

Effective Date

07/17/2002

Expiration Date

06/30/2003

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005