Alice Susan Bieneman
InactiveIllinois license 020001175
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020001175
- Status
- Inactive
- First issued
- July 14, 1969
- Expired
- September 30, 1992
- License holder
- Alice Susan Bieneman
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/14/1969
Contact
Skokie, IL 60077
Cook County