BROOKLYN R SIMONTON - Dentist License in Illinois | # 020010677

BROOKLYN R SIMONTON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010677

License Status

NOT RENEWED

Business

N

First Name

BROOKLYN

Middle

R

Last Name

SIMONTON

Business Name

BROOKLYN R SIMONTON

Original Issue Date

07/09/2003

Effective Date

09/24/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022