Jacyn Dale Stultz
ExpiredIllinois license 020003687
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020003687
- Status
- Expired (Not Renewed)
- First issued
- September 11, 1978
- Expired
- September 30, 1984
- License holder
- Jacyn Dale Stultz
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/11/1978
Contact
Amboy, IL 61310
Lee County