JANICE RUTH BOUCK - Dentist License in Illinois | # 020002143

JANICE RUTH BOUCK

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002143

License Status

INACTIVE

Business

N

First Name

JANICE RUTH

Last Name

BOUCK

Business Name

JANICE RUTH BOUCK

Original Issue Date

12/17/1973

Effective Date

12/17/1973

Expiration Date

09/30/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2012