RAVEN ERIN LOCKARD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016542

License Status

NOT RENEWED

Business

First Name

RAVEN

Middle

ERIN

Last Name

LOCKARD

Business Name

RAVEN ERIN LOCKARD

Original Issue Date

07/20/2019

Effective Date

12/02/2021

Expiration Date

09/30/2024

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

02/04/2025