DEBRA LYNNE WESTERVELT - Dentist License in Illinois | # 018002091

DEBRA LYNNE WESTERVELT

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002091

License Status

EXPIRED

Business

N

First Name

DEBRA

Middle

LYNNE

Last Name

WESTERVELT

Business Name

DEBRA LYNNE WESTERVELT

Original Issue Date

09/19/2018

Effective Date

08/16/2018

Expiration Date

08/16/2021

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

11/28/2022