Jacqueline Marie Busch
ExpiredIllinois license 020001615
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020001615
- Status
- Expired (Not Renewed)
- First issued
- November 22, 1971
- Expired
- September 30, 1984
- License holder
- Jacqueline Marie Busch
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 11/22/1971
Contact
Norcross, GA 30092
Georgia County