DE RETTA J STINE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000748

License Status

NOT RENEWED

Business

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

City

NORTHFIELD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005