THERESA MARIE MANSFIELD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002645

License Status

NOT RENEWED

Business

First Name

THERESA MARIE

Last Name

MANSFIELD

Business Name

THERESA MARIE MANSFIELD

Original Issue Date

07/29/1975

Effective Date

08/10/2015

Expiration Date

09/30/2018

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018