Kathleen A Hazen
ExpiredIllinois license 020007900
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020007900
- Status
- Expired (Not Renewed)
- First issued
- February 25, 1993
- Expired
- September 30, 1996
- License holder
- Kathleen A Hazen
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 02/25/1993
Contact
Belleville, IL 62221
Saint Clair County