Diane Kay Jackman
ExpiredIllinois license 020003374
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020003374
- Status
- Expired (Not Renewed)
- First issued
- September 29, 1977
- Expired
- September 30, 2018
- License holder
- Diane Kay Jackman
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/28/2015
Contact
Pekin, IL 61554
Tazewell County