JACLYN DENEE HOFMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012877

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

DENEE

Last Name

HOFMAN

Business Name

JACLYN DENEE HOFMAN

Original Issue Date

06/19/2009

Effective Date

06/19/2009

Expiration Date

09/30/2012

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012