Elaine Gustavson
InactiveIllinois license 020001311
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020001311
- Status
- Inactive
- First issued
- July 7, 1970
- Expired
- September 30, 2009
- License holder
- Elaine Gustavson
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 10/01/2006
Contact
Lake Bluff, IL 60044
Lake County