CORIE ANN VITKOVIC Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010091

License Status

INACTIVE

Business

First Name

CORIE

Middle

ANN

Last Name

VITKOVIC

Business Name

CORIE ANN VITKOVIC

Original Issue Date

08/14/2001

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

WILLOW SPRINGS

State

Zip

60480

County

COOK

Ever Disciplined

LastModifiedDate

06/04/2009