LORI ELLEN ICENOGLE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007963

License Status

INACTIVE

Business

First Name

LORI ELLEN

Last Name

ICENOGLE

Business Name

LORI ELLEN ICENOGLE

Original Issue Date

07/24/1993

Effective Date

07/26/2018

Expiration Date

09/30/2021

City

TOLEDO

State

Zip

62468

County

CUMBERLAND

Ever Disciplined

LastModifiedDate

07/26/2018