DENISE PHELAN OSTREM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002728

License Status

NOT RENEWED

Business

First Name

DENISE PHELAN

Last Name

OSTREM

Business Name

DENISE PHELAN OSTREM

Original Issue Date

10/15/1975

Effective Date

06/12/2015

Expiration Date

09/30/2018

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

10/31/2018