TAMARA FLOYD RANDALL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005453

License Status

NOT RENEWED

Business

First Name

TAMARA FLOYD

Last Name

RANDALL

Business Name

TAMARA FLOYD RANDALL

Original Issue Date

01/25/1984

Effective Date

01/25/1984

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005