CAROLE MARY LILLEBERG Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000805

License Status

INACTIVE

Business

First Name

CAROLE MARY

Last Name

LILLEBERG

Business Name

CAROLE MARY LILLEBERG

Original Issue Date

07/15/1965

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

HONOLULU

State

Zip

96825

County

HAWAII

Ever Disciplined

LastModifiedDate

07/24/2006