ELIZABETH LYNN FORTADO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012699

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

LYNN

Last Name

FORTADO

Business Name

ELIZABETH LYNN FORTADO

Original Issue Date

10/06/2008

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

CHEBANSE

State

Zip

60922

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/01/2024