ELIZABETH ANITA VAZQUEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011174

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANITA

Last Name

VAZQUEZ

Business Name

ELIZABETH ANITA VAZQUEZ

Original Issue Date

09/20/2004

Effective Date

08/10/2015

Expiration Date

09/30/2018

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018