Mary Jean Kotleba
ExpiredIllinois license 020003897
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020003897
- Status
- Expired (Not Renewed)
- First issued
- July 10, 1979
- Expired
- September 30, 1988
- License holder
- Mary Jean Kotleba
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/10/1979
Contact
Seattle, WA 98103
Washington County