HOLLY LOUISE WISNER - Dentist License in Illinois | # 020000703

HOLLY LOUISE WISNER

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000703

License Status

INACTIVE

Business

N

First Name

HOLLY LOUISE

Last Name

WISNER

Business Name

HOLLY LOUISE WISNER

Original Issue Date

07/14/1964

Effective Date

06/29/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

06/06/2012