De Retta J Stine
ExpiredIllinois license 020000748
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020000748
- Status
- Expired (Not Renewed)
- First issued
- November 25, 1964
- Expired
- September 30, 2004
- License holder
- De Retta J Stine
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 11/25/1964
Contact
Northfield, IL 60093
Cook County