LILY CARLOCK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009409

License Status

ACTIVE

Business

First Name

LILY

Last Name

CARLOCK

Business Name

LILY CARLOCK

Original Issue Date

02/17/1999

Effective Date

06/10/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/10/2024