Deserae Lecia Faun
ExpiredIllinois license 020011644
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020011644
- Status
- Expired (Not Renewed)
- First issued
- May 25, 2006
- Expired
- September 30, 2012
- License holder
- Deserae Lecia Faun
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 10/01/2009
Contact
Elkhorn, WI 53121
Wisconsin County