NOLA TAM HENDERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002164

License Status

NOT RENEWED

Business

First Name

NOLA TAM

Last Name

HENDERSON

Business Name

NOLA TAM HENDERSON

Original Issue Date

03/26/1974

Effective Date

03/26/1974

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005