TARYN LEE GLADWISH - Dentist License in Illinois | # 018002136

TARYN LEE GLADWISH

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002136

License Status

EXPIRED

Business

N

First Name

TARYN

Middle

LEE

Last Name

GLADWISH

Business Name

TARYN LEE GLADWISH

Original Issue Date

05/28/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

11/28/2022