Jacquetta Kazan Menold
ActiveIllinois license 020003193
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020003193
- Status
- Active
- First issued
- July 1, 1977
- Expires
- September 30, 2027
- License holder
- Jacquetta Kazan Menold
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 08/28/2024
Contact
Morton, IL 61550
Tazewell County