LIZBETH A HERGENROEDER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001479

License Status

NOT RENEWED

Business

First Name

LIZBETH A

Last Name

HERGENROEDER

Business Name

LIZBETH A HERGENROEDER

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

09/30/1992

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

10/12/2005