ROSALEE HUMPHREY - Dentist License in Illinois | # 020003828

ROSALEE HUMPHREY

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003828

License Status

NOT RENEWED

Business

N

First Name

ROSALEE

Last Name

HUMPHREY

Business Name

ROSALEE HUMPHREY

Original Issue Date

06/29/1979

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

11/04/2009