CAROL A PAYNE NIFORATOS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019992

License Status

NOT RENEWED

Business

First Name

CAROL A PAYNE

Last Name

NIFORATOS

Business Name

CAROL A PAYNE NIFORATOS

Original Issue Date

02/14/1986

Effective Date

02/14/1986

Expiration Date

09/30/1998

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005