STACIA MARIE BOWMAN - Dentist License in Illinois | # 020012314

STACIA MARIE BOWMAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012314

License Status

NOT RENEWED

Business

N

First Name

STACIA

Middle

MARIE

Last Name

BOWMAN

Business Name

STACIA MARIE BOWMAN

Original Issue Date

10/16/2007

Effective Date

11/18/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025