LORI A CAMACHO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012879

License Status

NOT RENEWED

Business

First Name

LORI A

Last Name

CAMACHO

Business Name

LORI A CAMACHO

Original Issue Date

06/19/2009

Effective Date

06/19/2009

Expiration Date

09/30/2012

City

THOMASBORO

State

Zip

61878

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/14/2012