BONNIE RANDALL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004629

License Status

NOT RENEWED

Business

First Name

BONNIE

Last Name

RANDALL

Business Name

BONNIE RANDALL

Original Issue Date

07/21/1981

Effective Date

08/15/2012

Expiration Date

09/30/2015

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

04/25/2016