MARTHA LYNN TATE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001807

License Status

INACTIVE

Business

First Name

MARTHA LYNN

Last Name

TATE

Business Name

MARTHA LYNN TATE

Original Issue Date

07/13/1972

Effective Date

07/13/1972

Expiration Date

09/30/1992

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005