Kathy K Ford
InactiveIllinois license 020004666
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020004666
- Status
- Inactive
- First issued
- July 30, 1981
- Expired
- September 30, 1992
- License holder
- Kathy K Ford
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/30/1981
Contact
Wauconda, IL 60084
Lake County