Mia Michelle Randolph
ExpiredIllinois license 020009894
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020009894
- Status
- Expired (Not Renewed)
- First issued
- August 16, 2000
- Expired
- September 30, 2002
- License holder
- Mia Michelle Randolph
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 08/16/2000
Contact
Bloomington, IL 61704
McLean County