Lana Renee Rudolph
ExpiredIllinois license 020004008
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020004008
- Status
- Expired (Not Renewed)
- First issued
- September 5, 1979
- Expired
- September 30, 2012
- License holder
- Lana Renee Rudolph
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/24/2009
Contact
Rolling Meadows, IL 60008
Cook County