MARY J LAKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006983

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

LAKE

Business Name

MARY J LAKE

Original Issue Date

08/01/1989

Effective Date

09/12/2021

Expiration Date

09/30/2024

City

JOLIET

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

02/04/2025