CARRIE L DORN - Dentist License in Illinois | # 020008511

CARRIE L DORN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008511

License Status

NOT RENEWED

Business

N

First Name

CARRIE L

Last Name

DORN

Business Name

CARRIE L DORN

Original Issue Date

07/19/1995

Effective Date

07/19/1995

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005