TAMELO JO FITZGERALD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006258

License Status

NOT RENEWED

Business

First Name

TAMELO JO

Last Name

FITZGERALD

Business Name

TAMELO JO FITZGERALD

Original Issue Date

09/09/1986

Effective Date

09/09/1986

Expiration Date

09/30/1988

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005