OPAL GENEVA MOUNTZ - Dentist License in Illinois | # 020000184

OPAL GENEVA MOUNTZ

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000184

License Status

NOT RENEWED

Business

N

First Name

OPAL GENEVA

Last Name

MOUNTZ

Business Name

OPAL GENEVA MOUNTZ

Original Issue Date

11/22/1955

Effective Date

11/22/1955

Expiration Date

09/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005