KATHERINE E RALPH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012664

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

Last Name

RALPH

Business Name

KATHERINE E RALPH

Original Issue Date

08/22/2008

Effective Date

07/06/2009

Expiration Date

09/30/2012

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/14/2012