Kelly S Bacon

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

020006185

Status

Expired (Not Renewed)

First issued

July 30, 1986

Expired

September 30, 1994

License holder

Kelly S Bacon

Entity type

Individual

Classifications

• Registered Dental Hygienist Dental

More from the license record

Current term began

07/30/1986

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