Ellen Anne Slack
InactiveIllinois license 020000148
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020000148
- Status
- Inactive
- First issued
- August 12, 1952
- Expired
- September 30, 1990
- License holder
- Ellen Anne Slack
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 08/12/1952
Contact
Naperville, IL 60540
Dupage County