ELIZABETH W BOLICK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012093

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

BOLICK

Business Name

ELIZABETH W BOLICK

Original Issue Date

06/19/2007

Effective Date

06/19/2007

Expiration Date

09/30/2009

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/04/2009