CAROL L BOSACK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003139

License Status

NOT RENEWED

Business

First Name

CAROL L

Last Name

BOSACK

Business Name

CAROL L BOSACK

Original Issue Date

06/23/1977

Effective Date

06/23/1977

Expiration Date

09/30/1992

City

CRESTWOOD

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005