ERICA D FORD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015343

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

FORD

Business Name

ERICA D FORD

Original Issue Date

12/17/2015

Effective Date

12/17/2015

Expiration Date

09/30/2018

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018