LINDA SUE BULLOCK - Dentist License in Illinois | # 020011159

LINDA SUE BULLOCK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011159

License Status

NOT RENEWED

Business

N

First Name

LINDA

Middle

SUE

Last Name

BULLOCK

Business Name

LINDA SUE BULLOCK

Original Issue Date

09/07/2004

Effective Date

09/30/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012