Danelle Eleanor Disterhoft
InactiveIllinois license 020002513
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020002513
- Status
- Inactive
- First issued
- July 10, 1975
- Expired
- September 30, 2004
- License holder
- Danelle Eleanor Disterhoft
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/10/1975
Contact
Boulder, CO 80303
Colorado County