PAMELA CHRISTINE CACIOPPO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010583

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

CHRISTINE

Last Name

CACIOPPO

Business Name

PAMELA CHRISTINE CACIOPPO

Original Issue Date

06/09/2003

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/14/2012