STEPHANIE JONES WILLIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009823

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

JONES

Last Name

WILLIS

Business Name

STEPHANIE JONES WILLIS

Original Issue Date

06/29/2000

Effective Date

06/29/2000

Expiration Date

09/30/2002

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005