Rachel Diane Kofahl
ExpiredIllinois license 020014162
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020014162
- Status
- Expired (Not Renewed)
- First issued
- August 21, 2012
- Expired
- September 30, 2015
- License holder
- Rachel Diane Kofahl
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 08/21/2012
Contact
Clarence, NY 14031
New York County