HELEN A HAISMA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001434

License Status

NOT RENEWED

Business

First Name

HELEN A

Last Name

HAISMA

Business Name

HELEN A HAISMA

Original Issue Date

07/08/1971

Effective Date

08/29/2012

Expiration Date

09/30/2015

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

04/25/2016