Lisa Maria Blevins
ExpiredIllinois license 020008970
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020008970
- Status
- Expired (Not Renewed)
- First issued
- July 4, 1997
- Expired
- September 30, 2012
- License holder
- Lisa Maria Blevins
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/23/2009
Contact
Pekin, IL 61554
Tazewell County