CAROL LEE CLOVER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006000

License Status

NOT RENEWED

Business

First Name

CAROL LEE

Last Name

CLOVER

Business Name

CAROL LEE CLOVER

Original Issue Date

09/30/1985

Effective Date

09/30/1985

Expiration Date

09/30/1996

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/12/2005