Corissa Ann Fortini
ExpiredIllinois license 020010730
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020010730
- Status
- Expired (Not Renewed)
- First issued
- July 24, 2003
- Expired
- September 30, 2024
- License holder
- Corissa Ann Fortini
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/29/2021
Contact
Bentonville, AR 72713