JAYNE M STICKNEY - Dentist License in Illinois | # 018000425

JAYNE M STICKNEY

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000425

License Status

EXPIRED

Business

N

First Name

JAYNE

Middle

M

Last Name

STICKNEY

Business Name

JAYNE M STICKNEY

Original Issue Date

07/01/1991

Effective Date

07/01/1991

Expiration Date

06/30/1993

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005