TERRI L MODRAK - Dentist License in Illinois | # 020008295

TERRI L MODRAK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008295

License Status

NOT RENEWED

Business

N

First Name

TERRI

Middle

L

Last Name

MODRAK

Business Name

TERRI L MODRAK

Original Issue Date

07/20/1994

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/18/2011