BONNIE M LAVARNW CHISHOLM GREEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004443

License Status

NOT RENEWED

Business

First Name

BONNIE M LAVARNW

Last Name

CHISHOLM GREEN

Business Name

BONNIE M LAVARNW CHISHOLM GREEN

Original Issue Date

04/28/1981

Effective Date

07/25/2012

Expiration Date

09/30/2015

City

PALATINE

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016