JOLENE SARITA FRIELDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009125

License Status

NOT RENEWED

Business

First Name

JOLENE SARITA

Last Name

FRIELDS

Business Name

JOLENE SARITA FRIELDS

Original Issue Date

10/29/1997

Effective Date

08/16/2012

Expiration Date

09/30/2015

City

SIDNEY

State

Zip

61877

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/25/2016