AILENE KEENEY NOVACK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001153

License Status

NOT RENEWED

Business

First Name

AILENE KEENEY

Last Name

NOVACK

Business Name

AILENE KEENEY NOVACK

Original Issue Date

07/14/1969

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/14/2012