HARRIET LUCILLE BASEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000707

License Status

NOT RENEWED

Business

First Name

HARRIET LUCILLE

Last Name

BASEL

Business Name

HARRIET LUCILLE BASEL

Original Issue Date

07/14/1964

Effective Date

09/28/2015

Expiration Date

09/30/2018

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/31/2018