MARY BETH STOFFREGEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005382

License Status

INACTIVE

Business

First Name

MARY BETH

Last Name

STOFFREGEN

Business Name

MARY BETH STOFFREGEN

Original Issue Date

08/12/1983

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2006