Carol Marie Gustavson
ExpiredIllinois license 020000356
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020000356
- Status
- Expired (Not Renewed)
- First issued
- January 21, 1958
- Expired
- September 30, 1984
- License holder
- Carol Marie Gustavson
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 01/21/1958
Contact
Alexandria, VA 22308
Virginia County