Sandra F Derhake
InactiveIllinois license 020002694
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020002694
- Status
- Inactive
- First issued
- August 27, 1975
- Expired
- September 30, 2004
- License holder
- Sandra F Derhake
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 08/27/1975
Contact
Liberty, IL 62347
Adams County