DONNA J HERZOG - Dentist License in Illinois | # 020007679

DONNA J HERZOG

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007679

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005