Susan L Brockmann

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

020005478

Status

Expired (Not Renewed)

First issued

May 24, 1984

Expired

September 30, 1986

License holder

Susan L Brockmann

Entity type

Individual

Classifications

• Registered Dental Hygienist Dental

More from the license record

Current term began

05/24/1984

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