STEFANIE R MOHLENBRUCK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008288

License Status

NOT RENEWED

Business

First Name

STEFANIE R

Last Name

MOHLENBRUCK

Business Name

STEFANIE R MOHLENBRUCK

Original Issue Date

07/18/1994

Effective Date

08/15/2018

Expiration Date

01/31/2022

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/09/2022