Louellen Tatro Lusk
InactiveIllinois license 020009635
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020009635
- Status
- Inactive
- First issued
- September 28, 1999
- Expired
- September 30, 2012
- License holder
- Louellen Tatro Lusk
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 06/11/2009
Contact
Decatur, IL 62521
Macon County