MARTHA LYNN TATE - Dentist License in Illinois | # 020001807

MARTHA LYNN TATE

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001807

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005