LORI A CARLSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011210

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

CARLSON

Business Name

LORI A CARLSON

Original Issue Date

11/22/2004

Effective Date

08/23/2018

Expiration Date

01/31/2022

City

ALEXIS

State

Zip

61412

County

MERCER

Ever Disciplined

LastModifiedDate

12/17/2025