GRACE A FORERO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006249

License Status

NOT RENEWED

Business

First Name

GRACE A

Last Name

FORERO

Business Name

GRACE A FORERO

Original Issue Date

08/21/1986

Effective Date

08/21/1986

Expiration Date

09/30/2000

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005