STEPHANIE L BAZZELL - Dentist License in Illinois | # 020006080

STEPHANIE L BAZZELL

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006080

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE L

Last Name

BAZZELL

Business Name

STEPHANIE L BAZZELL

Original Issue Date

07/15/1986

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2007