OPAL GENEVA MOUNTZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000184

License Status

NOT RENEWED

Business

First Name

OPAL GENEVA

Last Name

MOUNTZ

Business Name

OPAL GENEVA MOUNTZ

Original Issue Date

11/22/1955

Effective Date

11/22/1955

Expiration Date

09/30/1994

City

MT. PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005