CAROLYN JEAN NIEDERER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003345

License Status

NOT RENEWED

Business

First Name

CAROLYN JEAN

Last Name

NIEDERER

Business Name

CAROLYN JEAN NIEDERER

Original Issue Date

08/24/1977

Effective Date

06/28/2012

Expiration Date

09/30/2015

City

BYRON

State

Zip

61010

County

OGLE

Ever Disciplined

LastModifiedDate

04/25/2016