DENISE PHELAN OSTREM - Dentist License in Illinois | # 020002728

DENISE PHELAN OSTREM

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002728

License Status

NOT RENEWED

Business

N

First Name

DENISE PHELAN

Last Name

OSTREM

Business Name

DENISE PHELAN OSTREM

Original Issue Date

10/15/1975

Effective Date

06/12/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018