RONDA L CHAMBERLAIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011103

License Status

NOT RENEWED

Business

First Name

RONDA

Middle

Last Name

CHAMBERLAIN

Business Name

RONDA L CHAMBERLAIN

Original Issue Date

07/29/2004

Effective Date

09/26/2018

Expiration Date

01/31/2022

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/09/2022