CYNTHIA DOUGLAS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004542

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Last Name

DOUGLAS

Business Name

CYNTHIA DOUGLAS

Original Issue Date

06/30/1981

Effective Date

06/30/1981

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005