Mary Ann Southerlan
ActiveIllinois license 020004826
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020004826
- Status
- Active
- First issued
- June 28, 1982
- Expires
- September 30, 2027
- License holder
- Mary Ann Southerlan
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/22/2024
Contact
Mount Pulaski, IL 62548
Logan County