Tara E Wayne

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

020011142

Status

Expired (Not Renewed)

First issued

August 18, 2004

Expired

September 30, 2009

License holder

Tara E Wayne

Entity type

Individual

Classifications

• Registered Dental Hygienist Dental

More from the license record

Current term began

10/01/2006

Contact