License Directory

Dawn M Provenzano

Expired

Illinois license 011203366

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
011203366
Status
Expired (Not Renewed)
First issued
September 6, 1985
Expired
September 30, 2019
License holder
Dawn M Provenzano
Entity type
Individual

Classifications

More from the license record

Current term began
09/25/2017

Other Illinois licenses under this name

  • IL
    Dawn M Provenzano
    License 020010305
    Registered Dental Hygienist
    Active
    Roscoe, IL
    Expires Sep 30, 2027

Contact

Ingleside, IL 60041
Lake County