ELIZABETH JANE BROCKMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002220

License Status

NOT RENEWED

Business

First Name

ELIZABETH JANE

Last Name

BROCKMAN

Business Name

ELIZABETH JANE BROCKMAN

Original Issue Date

07/03/1974

Effective Date

10/13/2015

Expiration Date

09/30/2018

City

JOLIET

State

Zip

60436

County

WILL

Ever Disciplined

LastModifiedDate

10/31/2018