KATHY K FORD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004666

License Status

INACTIVE

Business

First Name

KATHY K

Last Name

FORD

Business Name

KATHY K FORD

Original Issue Date

07/30/1981

Effective Date

07/30/1981

Expiration Date

09/30/1992

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005