MARY ANN BJORK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004090

License Status

INACTIVE

Business

First Name

MARY

Middle

ANN

Last Name

BJORK

Business Name

MARY ANN BJORK

Original Issue Date

03/11/1980

Effective Date

11/12/2009

Expiration Date

09/30/2012

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/06/2012