ELIZABETH BEIDERBECKE-HART Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004649

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Last Name

BEIDERBECKE-HART

Business Name

ELIZABETH BEIDERBECKE-HART

Original Issue Date

07/30/1981

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/04/2009