Constance Ellen Baum
ExpiredIllinois license 020003632
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020003632
- Status
- Expired (Not Renewed)
- First issued
- July 21, 1978
- Expired
- September 30, 1996
- License holder
- Constance Ellen Baum
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/21/1978
Contact
Mount Hereb, WI 53572
Wisconsin County