ELAINE CARLSON DRAKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017128

License Status

NOT RENEWED

Business

First Name

ELAINE CARLSON

Last Name

DRAKE

Business Name

ELAINE CARLSON DRAKE

Original Issue Date

07/01/1980

Effective Date

06/13/2018

Expiration Date

01/31/2022

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

05/09/2022