DONNA J HERZOG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007679

License Status

NOT RENEWED

Business

First Name

DONNA J

Last Name

HERZOG

Business Name

DONNA J HERZOG

Original Issue Date

07/16/1992

Effective Date

07/16/1992

Expiration Date

09/30/2004

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005