TRACY T CLEVENGER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007320

License Status

NOT RENEWED

Business

First Name

TRACY T

Last Name

CLEVENGER

Business Name

TRACY T CLEVENGER

Original Issue Date

10/27/1990

Effective Date

07/05/2018

Expiration Date

01/31/2022

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/09/2022