GINA RAE WITT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012060

License Status

NOT RENEWED

Business

First Name

GINA

Middle

RAE

Last Name

WITT

Business Name

GINA RAE WITT

Original Issue Date

06/14/2007

Effective Date

09/06/2012

Expiration Date

09/30/2015

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016