KIMBERLY R RAYFORD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001360

License Status

EXPIRED

Business

First Name

KIMBERLY

Middle

Last Name

RAYFORD

Business Name

KIMBERLY R RAYFORD

Original Issue Date

07/17/2002

Effective Date

07/17/2002

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005