JEANNE A KOUKOL - Dentist License in Illinois | # 020001410

JEANNE A KOUKOL

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001410

License Status

INACTIVE

Business

N

First Name

JEANNE A

Last Name

KOUKOL

Business Name

JEANNE A KOUKOL

Original Issue Date

11/23/1970

Effective Date

11/23/1970

Expiration Date

09/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005