LANA THI TENGWALL - Dentist License in Illinois | # 020011921

LANA THI TENGWALL

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011921

License Status

NOT RENEWED

Business

N

First Name

LANA

Middle

THI

Last Name

TENGWALL

Business Name

LANA THI TENGWALL

Original Issue Date

11/08/2006

Effective Date

09/16/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018