Phyllis A Staley
ExpiredIllinois license 020008273
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020008273
- Status
- Expired (Not Renewed)
- First issued
- July 14, 1994
- Expired
- September 30, 2000
- License holder
- Phyllis A Staley
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/14/1994
Contact
Elsah, IL 62028
Jersey County