MIGNON BUSSELL - Dentist License in Illinois | # 020005972

MIGNON BUSSELL

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005972

License Status

NOT RENEWED

Business

N

First Name

MIGNON

Last Name

BUSSELL

Business Name

MIGNON BUSSELL

Original Issue Date

08/23/1985

Effective Date

08/23/1985

Expiration Date

09/30/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005