Nancy Backenkell Burgess
ExpiredIllinois license 020001903
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020001903
- Status
- Expired (Not Renewed)
- First issued
- July 11, 1973
- Expired
- September 30, 1998
- License holder
- Nancy Backenkell Burgess
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/11/1973
Contact
Milwaukee, WI 53202
Wisconsin County