KARIN LYNN AHLGRIM Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000619

License Status

INACTIVE

Business

First Name

KARIN LYNN

Last Name

AHLGRIM

Business Name

KARIN LYNN AHLGRIM

Original Issue Date

07/17/1963

Effective Date

07/17/1963

Expiration Date

09/30/1990

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005