CONNIE MARIE PRILL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002622

License Status

NOT RENEWED

Business

First Name

CONNIE MARIE

Last Name

PRILL

Business Name

CONNIE MARIE PRILL

Original Issue Date

07/10/1975

Effective Date

07/10/1975

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005