LORI RAE ENEVOLDSEN - Dentist License in Illinois | # 020005403

LORI RAE ENEVOLDSEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005403

License Status

NOT RENEWED

Business

N

First Name

LORI RAE

Last Name

ENEVOLDSEN

Suffix

DC

Business Name

LORI RAE ENEVOLDSEN

Original Issue Date

09/08/1983

Effective Date

09/08/1983

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005