TERRA SUE DUTT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010517

License Status

NOT RENEWED

Business

First Name

TERRA

Middle

SUE

Last Name

DUTT

Business Name

TERRA SUE DUTT

Original Issue Date

01/02/2003

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/09/2022