NATALIE AGAFONOVA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009061

License Status

NOT RENEWED

Business

First Name

NATALIE

Last Name

AGAFONOVA

Business Name

NATALIE AGAFONOVA

Original Issue Date

08/06/1997

Effective Date

09/16/2015

Expiration Date

09/30/2018

City

NORTHFIELD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018