Diane P Stallard
ExpiredIllinois license 020004290
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020004290
- Status
- Expired (Not Renewed)
- First issued
- July 30, 1980
- Expired
- September 30, 2012
- License holder
- Diane P Stallard
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 06/09/2009
Contact
Barrington, IL 60010
Lake County