PEGGY A FOSSELMAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003651

License Status

INACTIVE

Business

First Name

PEGGY A

Last Name

FOSSELMAN

Business Name

PEGGY A FOSSELMAN

Original Issue Date

08/16/1978

Effective Date

08/16/1978

Expiration Date

09/30/1992

City

BARTLETT

State

Zip

60103

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005