Autumn Nicole Hansen
InactiveIllinois license 020015535
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020015535
- Status
- Inactive
- First issued
- July 8, 2016
- Expired
- September 30, 2018
- License holder
- Autumn Nicole Hansen
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/08/2016
Contact
East Moline, IL 61244
Rock Island County