STACY L MADLEM - Dentist License in Illinois | # 020006639

STACY L MADLEM

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006639

License Status

NOT RENEWED

Business

N

First Name

STACY L

Last Name

MADLEM

Business Name

STACY L MADLEM

Original Issue Date

07/29/1988

Effective Date

10/02/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022