Mary Beth Bazhenow
ExpiredIllinois license 020004231
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020004231
- Status
- Expired (Not Renewed)
- First issued
- July 17, 1980
- Expired
- September 30, 2024
- License holder
- Mary Beth Bazhenow
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/25/2021
Contact
Peoria, IL 61604
Peoria County