JEROME EUGENE SERVIE - Dentist License in Illinois | # 020001873

JEROME EUGENE SERVIE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001873

License Status

NOT RENEWED

Business

N

First Name

JEROME EUGENE

Last Name

SERVIE

Business Name

JEROME EUGENE SERVIE

Original Issue Date

11/02/1972

Effective Date

06/10/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012