STEPHANIE R CONGELOSE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010820

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

CONGELOSE

Business Name

STEPHANIE R CONGELOSE

Original Issue Date

10/06/2003

Effective Date

11/16/2017

Expiration Date

09/30/2018

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

10/31/2018