KRISTI A LICOCCI Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003915

License Status

INACTIVE

Business

First Name

KRISTI A

Last Name

LICOCCI

Business Name

KRISTI A LICOCCI

Original Issue Date

07/18/1979

Effective Date

07/18/1979

Expiration Date

09/30/2000

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005