ROBERTA D GANIM - Dentist License in Illinois | # 020002240

ROBERTA D GANIM

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002240

License Status

INACTIVE

Business

N

First Name

ROBERTA D

Last Name

GANIM

Business Name

ROBERTA D GANIM

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005