JUDY D MIKKELSEN - Dentist License in Illinois | # 020006279

JUDY D MIKKELSEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006279

License Status

NOT RENEWED

Business

N

First Name

JUDY D

Last Name

MIKKELSEN

Business Name

JUDY D MIKKELSEN

Original Issue Date

09/22/1986

Effective Date

09/22/1986

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005