MIRIAM R PLAZA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007132

License Status

NOT RENEWED

Business

First Name

MIRIAM R

Last Name

PLAZA

Business Name

MIRIAM R PLAZA

Original Issue Date

03/31/1990

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/04/2009