THERESA MARIE MANSFIELD - Dentist License in Illinois | # 020002645

THERESA MARIE MANSFIELD

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002645

License Status

NOT RENEWED

Business

N

First Name

THERESA MARIE

Last Name

MANSFIELD

Business Name

THERESA MARIE MANSFIELD

Original Issue Date

07/29/1975

Effective Date

08/10/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018