CARRIE L DORN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008511

License Status

NOT RENEWED

Business

First Name

CARRIE L

Last Name

DORN

Business Name

CARRIE L DORN

Original Issue Date

07/19/1995

Effective Date

07/19/1995

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005