LORI RAE ENEVOLDSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005403

License Status

NOT RENEWED

Business

First Name

LORI RAE

Last Name

ENEVOLDSEN

Suffix

Business Name

LORI RAE ENEVOLDSEN

Original Issue Date

09/08/1983

Effective Date

09/08/1983

Expiration Date

09/30/1996

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005