ANGELA S PONTON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011846

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

PONTON

Business Name

ANGELA S PONTON

Original Issue Date

08/04/2006

Effective Date

09/21/2009

Expiration Date

09/30/2012

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

11/14/2012