STACEY L DELBRIDGE - Dentist License in Illinois | # 018000253

STACEY L DELBRIDGE

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000253

License Status

NOT RENEWED

Business

N

First Name

STACEY

Middle

L

Last Name

DELBRIDGE

Business Name

STACEY L DELBRIDGE

Original Issue Date

06/25/1988

Effective Date

06/25/1988

Expiration Date

06/24/1990

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

10/12/2005