DE RETTA J STINE - Dentist License in Illinois | # 020000748

DE RETTA J STINE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000748

License Status

NOT RENEWED

Business

N

First Name

DE RETTA J

Last Name

STINE

Business Name

DE RETTA J STINE

Original Issue Date

11/25/1964

Effective Date

11/25/1964

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005