SHELLEY VALERIA WIEGAND - Dentist License in Illinois | # 020002838

SHELLEY VALERIA WIEGAND

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002838

License Status

NOT RENEWED

Business

N

First Name

SHELLEY VALERIA

Last Name

WIEGAND

Business Name

SHELLEY VALERIA WIEGAND

Original Issue Date

07/13/1976

Effective Date

07/13/1976

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005