KATHLEEN M DECKER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005765

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

DECKER

Business Name

KATHLEEN M DECKER

Original Issue Date

05/10/1985

Effective Date

05/10/1985

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005