Mary Kim Kussman
ExpiredIllinois license 020002972
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020002972
- Status
- Expired (Not Renewed)
- First issued
- July 13, 1976
- Expired
- April 1, 1982
- License holder
- Mary Kim Kussman
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/13/1976
Contact
Florissant, MO 63033
Missouri County