AMY DANIELLE LOHRENZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010403

License Status

NOT RENEWED

Business

First Name

AMY

Middle

DANIELLE

Last Name

LOHRENZ

Business Name

AMY DANIELLE LOHRENZ

Original Issue Date

07/19/2002

Effective Date

09/30/2015

Expiration Date

09/30/2018

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/31/2018