CAROL BOGNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001578

License Status

NOT RENEWED

Business

First Name

CAROL

Last Name

BOGNER

Business Name

CAROL BOGNER

Original Issue Date

07/08/1971

Effective Date

09/19/2012

Expiration Date

09/30/2015

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/25/2016