Manyla E Putnam
ExpiredIllinois license 020014579
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020014579
- Status
- Expired (Not Renewed)
- First issued
- December 20, 2013
- Expired
- September 30, 2015
- License holder
- Manyla E Putnam
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 12/20/2013
Contact
Davenport, IA 52803
Iowa County