CARLA JEAN AXTON - Dentist License in Illinois | # 020012642

CARLA JEAN AXTON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012642

License Status

NOT RENEWED

Business

N

First Name

CARLA

Middle

JEAN

Last Name

AXTON

Business Name

CARLA JEAN AXTON

Original Issue Date

08/05/2008

Effective Date

08/10/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012