Beverly Ann Black
InactiveIllinois license 020001846
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020001846
- Status
- Inactive
- First issued
- July 12, 1972
- Expired
- September 30, 2006
- License holder
- Beverly Ann Black
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/30/2004
Contact
Sterling, IL 61081
Whiteside County