Jenna Rose Stork
ExpiredIllinois license 020011050
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020011050
- Status
- Expired (Not Renewed)
- First issued
- June 30, 2004
- Expired
- September 30, 2012
- License holder
- Jenna Rose Stork
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 06/15/2009
Contact
Peru, IL 61354
La Salle County