CAROL B VANDERWEIDE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006313

License Status

NOT RENEWED

Business

First Name

CAROL B

Last Name

VANDERWEIDE

Business Name

CAROL B VANDERWEIDE

Original Issue Date

01/02/1987

Effective Date

08/15/2018

Expiration Date

01/31/2022

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

05/09/2022