LORRAINE A MALLON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005681

License Status

INACTIVE

Business

First Name

LORRAINE A

Last Name

MALLON

Business Name

LORRAINE A MALLON

Original Issue Date

09/10/1984

Effective Date

09/05/2018

Expiration Date

12/31/2021

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

09/12/2021