Jeanne A Koukol
InactiveIllinois license 020001410
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020001410
- Status
- Inactive
- First issued
- November 23, 1970
- Expired
- September 30, 1998
- License holder
- Jeanne A Koukol
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 11/23/1970
Contact
Crystal Lake, IL 60014
McHenry County