MONIQUE MARIE BACON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011907

License Status

NOT RENEWED

Business

First Name

MONIQUE

Middle

MARIE

Last Name

BACON

Business Name

MONIQUE MARIE BACON

Original Issue Date

10/11/2006

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012