DANA KATHRYN PERCIVAL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014638

License Status

NOT RENEWED

Business

First Name

DANA

Middle

KATHRYN

Last Name

PERCIVAL

Business Name

DANA KATHRYN PERCIVAL

Original Issue Date

03/31/2014

Effective Date

09/08/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018