Shannon Mae Palm
ExpiredIllinois license 020013430
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020013430
- Status
- Expired (Not Renewed)
- First issued
- October 19, 2010
- Expired
- September 30, 2018
- License holder
- Shannon Mae Palm
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 08/17/2015
Contact
Rockford, IL 61107
Winnebago County