Susan Mary Rose
ExpiredIllinois license 020001882
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020001882
- Status
- Expired (Not Renewed)
- First issued
- December 13, 1972
- License holder
- Susan Mary Rose
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 12/13/1972
Contact
Carbondale, IL 62901
Jackson County