NANCY SUE CHAMPLIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003245

License Status

NOT RENEWED

Business

First Name

NANCY SUE

Last Name

CHAMPLIN

Business Name

NANCY SUE CHAMPLIN

Original Issue Date

07/18/1977

Effective Date

09/29/2015

Expiration Date

09/30/2018

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018