AUDREY KYANA LA'COLE FIELDS - Dentist License in Illinois | # 019031776

AUDREY KYANA LA'COLE FIELDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031776

License Status

NOT RENEWED

Business

N

First Name

AUDREY

Middle

KYANA LA'COLE

Last Name

FIELDS

Business Name

AUDREY KYANA LA'COLE FIELDS

Original Issue Date

07/03/2018

Effective Date

07/03/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022