TERRI L MODRAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008295

License Status

NOT RENEWED

Business

First Name

TERRI

Middle

Last Name

MODRAK

Business Name

TERRI L MODRAK

Original Issue Date

07/20/1994

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

PEOTONE

State

Zip

60468

County

WILL

Ever Disciplined

LastModifiedDate

01/18/2011