TRACY DIANE CARBERRY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007956

License Status

NOT RENEWED

Business

First Name

TRACY DIANE

Last Name

CARBERRY

Business Name

TRACY DIANE CARBERRY

Original Issue Date

07/24/1993

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

05/09/2022