CARLENE GRACE COLLINS - Dentist License in Illinois | # 020000626

CARLENE GRACE COLLINS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000626

License Status

NOT RENEWED

Business

N

First Name

CARLENE GRACE

Last Name

COLLINS

Business Name

CARLENE GRACE COLLINS

Original Issue Date

07/17/1963

Effective Date

07/17/1963

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005