Tracey Ellen Conn
InactiveIllinois license 020004046
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020004046
- Status
- Inactive
- First issued
- October 26, 1979
- Expired
- September 30, 1998
- License holder
- Tracey Ellen Conn
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 10/26/1979
Contact
West Bloomfield, MI 48322
Michigan County