CAMILLE KOERTNER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002108

License Status

INACTIVE

Business

First Name

CAMILLE

Last Name

KOERTNER

Business Name

CAMILLE KOERTNER

Original Issue Date

07/11/1973

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

NORTH BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

06/04/2009