Susan Carol Brack

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

020001697

Status

Expired (Not Renewed)

First issued

July 13, 1972

Expired

September 30, 1984

License holder

Susan Carol Brack

Entity type

Individual

Classifications

• Registered Dental Hygienist Dental

More from the license record

Current term began

07/13/1972

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