DONNA DANIELSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002510

License Status

NOT RENEWED

Business

First Name

DONNA

Last Name

DANIELSON

Business Name

DONNA DANIELSON

Original Issue Date

07/10/1975

Effective Date

07/19/2012

Expiration Date

09/30/2015

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016