Marian Elizabeth Lutzow
InactiveIllinois license 020003559
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020003559
- Status
- Inactive
- First issued
- June 27, 1978
- Expired
- September 30, 1992
- License holder
- Marian Elizabeth Lutzow
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 06/27/1978
Contact
New Berlin, WI 53146
Wisconsin County