Dominique Elena Dietrich
ExpiredIllinois license 020015259
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020015259
- Status
- Expired (Not Renewed)
- First issued
- August 7, 2015
- Expired
- January 31, 2022
- License holder
- Dominique Elena Dietrich
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/25/2018
Contact
Mackinaw, IL 61755
Tazewell County