Traci L Theissen
ExpiredIllinois license 020012346
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020012346
- Status
- Expired (Not Renewed)
- First issued
- January 22, 2008
- Expired
- September 30, 2015
- License holder
- Traci L Theissen
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 11/05/2013
Contact
Pontoon Beach, IL 62040
Madison County