CAROL L BOSACK - Dentist License in Illinois | # 020003139

CAROL L BOSACK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003139

License Status

NOT RENEWED

Business

N

First Name

CAROL L

Last Name

BOSACK

Business Name

CAROL L BOSACK

Original Issue Date

06/23/1977

Effective Date

06/23/1977

Expiration Date

09/30/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005