Jillian Kay Brokaw
InactiveIllinois license 020010586
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020010586
- Status
- Inactive
- First issued
- June 10, 2003
- Expired
- December 31, 2021
- License holder
- Jillian Kay Brokaw
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 10/02/2018
Contact
Aledo, IL 61231
Mercer County