JENNIFER AGNES CONRAD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000565

License Status

NOT RENEWED

Business

First Name

JENNIFER AGNES

Last Name

CONRAD

Business Name

JENNIFER AGNES CONRAD

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005