SARA A FORD - Dentist License in Illinois | # 020010793

SARA A FORD

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010793

License Status

INACTIVE

Business

N

First Name

SARA

Middle

A

Last Name

FORD

Business Name

SARA A FORD

Original Issue Date

09/19/2003

Effective Date

06/22/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

06/06/2012