Mary Ann Tiedemann
InactiveIllinois license 020004457
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020004457
- Status
- Inactive
- First issued
- June 15, 1981
- Expired
- September 30, 2009
- License holder
- Mary Ann Tiedemann
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 10/01/2006
Contact
Monticello, IL 61856
Piatt County