RENEE M STACH - Dentist License in Illinois | # 019022012

RENEE M STACH

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022012

License Status

NOT RENEWED

Business

N

First Name

RENEE M

Last Name

STACH

Business Name

RENEE M STACH

Original Issue Date

05/12/1990

Effective Date

05/12/1990

Expiration Date

09/30/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005