KIM A IERNA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005997

License Status

NOT RENEWED

Business

First Name

KIM A

Last Name

IERNA

Business Name

KIM A IERNA

Original Issue Date

09/24/1985

Effective Date

09/24/1985

Expiration Date

09/30/1988

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005