LANA RENEE RUDOLPH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004008

License Status

NOT RENEWED

Business

First Name

LANA RENEE

Last Name

RUDOLPH

Business Name

LANA RENEE RUDOLPH

Original Issue Date

09/05/1979

Effective Date

09/24/2009

Expiration Date

09/30/2012

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012