RAVEN ERIN LOCKARD - Dentist License in Illinois | # 020016542

RAVEN ERIN LOCKARD

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016542

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025