SHONA C TIETZ - Dentist License in Illinois | # 020008559

SHONA C TIETZ

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008559

License Status

NOT RENEWED

Business

N

First Name

SHONA C

Last Name

TIETZ

Business Name

SHONA C TIETZ

Original Issue Date

08/02/1995

Effective Date

08/02/1995

Expiration Date

09/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005