License Directory

Alyssa Ann Black

Active

Illinois license 020013904

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
020013904
Status
Active
First issued
May 30, 2012
Expires
September 30, 2027
License holder
Alyssa Ann Black
Entity type
Individual

Classifications

  • Registered Dental Hygienist Dental

More from the license record

Current term began
05/31/2024

Contact

Herrick, IL 62431
Fayette County