JACQUELYN J FIALA - Dentist License in Illinois | # 020001954

JACQUELYN J FIALA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001954

License Status

NOT RENEWED

Business

N

First Name

JACQUELYN J

Last Name

FIALA

Business Name

JACQUELYN J FIALA

Original Issue Date

07/11/1973

Effective Date

08/31/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018