Michele M Fortin
ExpiredIllinois license 020002747
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020002747
- Status
- Expired (Not Renewed)
- First issued
- December 3, 1975
- Expired
- April 1, 1982
- License holder
- Michele M Fortin
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 12/03/1975
Contact
Lake Villa, IL 60046
Lake County