MARY E JORSTAD - Dentist License in Illinois | # 020005111

MARY E JORSTAD

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005111

License Status

NOT RENEWED

Business

N

First Name

MARY E

Last Name

JORSTAD

Business Name

MARY E JORSTAD

Original Issue Date

01/17/1983

Effective Date

08/17/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018