LORI A FORD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006390

License Status

ACTIVE

Business

First Name

LORI A

Last Name

FORD

Business Name

LORI A FORD

Original Issue Date

07/13/1987

Effective Date

06/04/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61109

Ever Disciplined

LastModifiedDate

06/04/2024