SARA A FORD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010793

License Status

INACTIVE

Business

First Name

SARA

Middle

Last Name

FORD

Business Name

SARA A FORD

Original Issue Date

09/19/2003

Effective Date

06/22/2009

Expiration Date

09/30/2012

City

MARENGO

State

Zip

60152

County

MCHENRY

Ever Disciplined

LastModifiedDate

06/06/2012