ASHLEY M HAGENMEYER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011321

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

HAGENMEYER

Business Name

ASHLEY M HAGENMEYER

Original Issue Date

06/22/2005

Effective Date

09/14/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012