TAM ELIZABETH RUSTIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005125

License Status

NOT RENEWED

Business

First Name

TAM ELIZABETH

Last Name

RUSTIN

Business Name

TAM ELIZABETH RUSTIN

Original Issue Date

03/11/1983

Effective Date

10/03/2012

Expiration Date

09/30/2015

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016