Patricia McCubbins Park
ExpiredIllinois license 020004993
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020004993
- Status
- Expired (Not Renewed)
- First issued
- August 3, 1982
- Expired
- September 30, 2015
- License holder
- Patricia McCubbins Park
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 06/19/2012
Contact
Peoria, IL 61614
Peoria County