JEANNE A KOUKOL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001410

License Status

INACTIVE

Business

First Name

JEANNE A

Last Name

KOUKOL

Business Name

JEANNE A KOUKOL

Original Issue Date

11/23/1970

Effective Date

11/23/1970

Expiration Date

09/30/1998

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/12/2005