LORRAINE M DIVITA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007952

License Status

NOT RENEWED

Business

First Name

LORRAINE M

Last Name

DIVITA

Business Name

LORRAINE M DIVITA

Original Issue Date

07/24/1993

Effective Date

10/14/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025