Jane Forsberg Jasek
ExpiredIllinois license 020005103
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020005103
- Status
- Expired (Not Renewed)
- First issued
- January 3, 1983
- Expired
- January 31, 2022
- License holder
- Jane Forsberg Jasek
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/26/2018
Contact
Crown Point, IN 46307
Indiana County