CATHLEEN DEVONA GUSTAT - Dentist License in Illinois | # 020005256

CATHLEEN DEVONA GUSTAT

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005256

License Status

NOT RENEWED

Business

N

First Name

CATHLEEN

Middle

DEVONA

Last Name

GUSTAT

Business Name

CATHLEEN DEVONA GUSTAT

Original Issue Date

07/18/1983

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

11/04/2009