Michelle Lee Brouillette
InactiveIllinois license 020010638
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020010638
- Status
- Inactive
- First issued
- June 25, 2003
- Expired
- September 30, 2009
- License holder
- Michelle Lee Brouillette
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 10/01/2006
Contact
Grafton, WI 53024
Wisconsin County