GRACE LYN CHIAVAROLI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010777

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

LYN

Last Name

CHIAVAROLI

Business Name

GRACE LYN CHIAVAROLI

Original Issue Date

08/25/2003

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

HOLLAND

State

Zip

49424

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022