Carrie L Weisbaum
InactiveIllinois license 020006131
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020006131
- Status
- Inactive
- First issued
- July 16, 1986
- Expired
- September 30, 2006
- License holder
- Carrie L Weisbaum
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/30/2004
Contact
Glendora, CA 91741