TARA E WAYNE - Dentist License in Illinois | # 020011142

TARA E WAYNE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011142

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

E

Last Name

WAYNE

Business Name

TARA E WAYNE

Original Issue Date

08/18/2004

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

11/04/2009