BETH E MIERZWA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011669

License Status

ACTIVE

Business

First Name

BETH

Middle

Last Name

MIERZWA

Business Name

BETH E MIERZWA

Original Issue Date

06/22/2006

Effective Date

07/31/2024

Expiration Date

09/30/2027

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

07/31/2024