DEBORAH ANN BONG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001102

License Status

NOT RENEWED

Business

First Name

DEBORAH ANN

Last Name

BONG

Business Name

DEBORAH ANN BONG

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/1986

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/12/2005