Heidi R Fagerstrom
ExpiredIllinois license 020007347
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020007347
- Status
- Expired (Not Renewed)
- First issued
- February 1, 1991
- Expired
- January 31, 2022
- License holder
- Heidi R Fagerstrom
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 06/07/2018
Contact
Roscoe, IL 61073
Winnebago County