GEORGIA M DOUGHERTY - Dentist License in Illinois | # 020001494

GEORGIA M DOUGHERTY

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001494

License Status

NOT RENEWED

Business

N

First Name

GEORGIA M

Last Name

DOUGHERTY

Business Name

GEORGIA M DOUGHERTY

Original Issue Date

07/08/1971

Effective Date

08/11/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018