ANN MARIE TUCKEY GUSTAFSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004207

License Status

INACTIVE

Business

First Name

ANN MARIE TUCKEY

Last Name

GUSTAFSON

Business Name

ANN MARIE TUCKEY GUSTAFSON

Original Issue Date

07/15/1980

Effective Date

09/28/2009

Expiration Date

09/30/2012

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

06/06/2012