Somer Blosum Waggoner
ActiveIllinois license 020016323
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020016323
- Status
- Active
- First issued
- August 29, 2018
- Expires
- September 30, 2027
- License holder
- Somer Blosum Waggoner
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/05/2024
Contact
Laura, IL 61451
Peoria County