Colleen O'Brien Niswonger
ExpiredIllinois license 020005195
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020005195
- Status
- Expired (Not Renewed)
- First issued
- June 6, 1983
- Expired
- September 30, 1992
- License holder
- Colleen O'Brien Niswonger
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 06/06/1983
Contact
Elm Grove, WI 53122
Wisconsin County