DEBRA ANN PROULX - Dentist License in Illinois | # 020003359

DEBRA ANN PROULX

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003359

License Status

NOT RENEWED

Business

N

First Name

DEBRA ANN

Last Name

PROULX

Business Name

DEBRA ANN PROULX

Original Issue Date

09/16/1977

Effective Date

09/16/1977

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005