Mary Ellen Thienemann
InactiveIllinois license 020003547
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020003547
- Status
- Inactive
- First issued
- June 23, 1978
- Expired
- September 30, 2002
- License holder
- Mary Ellen Thienemann
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 06/23/1978
Contact
Rockford, IL 61107
Winnebago County