Benita Theis
InactiveIllinois license 020005769
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020005769
- Status
- Inactive
- First issued
- June 20, 1985
- Expired
- September 30, 1992
- License holder
- Benita Theis
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 06/20/1985
Contact
Waukesha, WI 53186
Wisconsin County