BONNIE B KLOS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005884

License Status

NOT RENEWED

Business

First Name

BONNIE B

Last Name

KLOS

Business Name

BONNIE B KLOS

Original Issue Date

07/19/1985

Effective Date

07/19/1985

Expiration Date

09/30/1998

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005