ANNE NICOLE RICHARD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011005

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

NICOLE

Last Name

RICHARD

Business Name

ANNE NICOLE RICHARD

Original Issue Date

06/24/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006