MARY ELLEN THIENEMANN - Dentist License in Illinois | # 020003547

MARY ELLEN THIENEMANN

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003547

License Status

INACTIVE

Business

N

First Name

MARY ELLEN

Last Name

THIENEMANN

Business Name

MARY ELLEN THIENEMANN

Original Issue Date

06/23/1978

Effective Date

06/23/1978

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005