RENATA ANN AZEEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010150

License Status

NOT RENEWED

Business

First Name

RENATA

Middle

ANN

Last Name

AZEEZ

Business Name

RENATA ANN AZEEZ

Original Issue Date

08/27/2001

Effective Date

10/05/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012