NOLA TAM HENDERSON - Dentist License in Illinois | # 020002164

NOLA TAM HENDERSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002164

License Status

NOT RENEWED

Business

N

First Name

NOLA TAM

Last Name

HENDERSON

Business Name

NOLA TAM HENDERSON

Original Issue Date

03/26/1974

Effective Date

03/26/1974

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005