ERICA D FORD - Dentist License in Illinois | # 020015343

ERICA D FORD

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015343

License Status

NOT RENEWED

Business

N

First Name

ERICA

Middle

D

Last Name

FORD

Business Name

ERICA D FORD

Original Issue Date

12/17/2015

Effective Date

12/17/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018