KIRSTIN LOUISE WELLMAN - Dentist License in Illinois | # 020009592

KIRSTIN LOUISE WELLMAN

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009592

License Status

INACTIVE

Business

N

First Name

KIRSTIN

Middle

LOUISE

Last Name

WELLMAN

Business Name

KIRSTIN LOUISE WELLMAN

Original Issue Date

08/06/1999

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

06/04/2009