STEPHANIE R CONGELOSE - Dentist License in Illinois | # 020010820

STEPHANIE R CONGELOSE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010820

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

R

Last Name

CONGELOSE

Business Name

STEPHANIE R CONGELOSE

Original Issue Date

10/06/2003

Effective Date

11/16/2017

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018