TERESA L LACERENZA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002017

License Status

INACTIVE

Business

First Name

TERESA L

Last Name

LACERENZA

Business Name

TERESA L LACERENZA

Original Issue Date

07/11/1973

Effective Date

07/11/1973

Expiration Date

09/30/1992

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005