MAUREEN ENICE FANNON - Dentist License in Illinois | # 020008895

MAUREEN ENICE FANNON

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008895

License Status

ACTIVE

Business

N

First Name

MAUREEN ENICE

Last Name

FANNON

Business Name

MAUREEN ENICE FANNON

Original Issue Date

12/03/1996

Effective Date

08/28/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

08/28/2024