Elizabeth A Gallivan
ExpiredIllinois license 020003109
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020003109
- Status
- Expired (Not Renewed)
- First issued
- June 9, 1977
- Expired
- April 1, 1982
- License holder
- Elizabeth A Gallivan
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 06/09/1977
Contact
Fort Collins, CO 80525
Colorado County