Susan M Fane
ExpiredIllinois license 020002845
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020002845
- Status
- Expired (Not Renewed)
- First issued
- July 13, 1976
- Expired
- January 31, 2022
- License holder
- Susan M Fane
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 08/08/2018
Contact
Rockford, IL 61108
Winnebago County