REBECCA S CLAUSSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002319

License Status

NOT RENEWED

Business

First Name

REBECCA S

Last Name

CLAUSSEN

Business Name

REBECCA S CLAUSSEN

Original Issue Date

07/03/1974

Effective Date

07/13/2015

Expiration Date

09/30/2018

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/31/2018