MARTA I FOLLAT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014957

License Status

NOT RENEWED

Business

First Name

MARTA

Middle

Last Name

FOLLAT

Business Name

MARTA I FOLLAT

Original Issue Date

10/08/2014

Effective Date

08/27/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022