SANDRA ROSE MASON - Dentist License in Illinois | # 020012029

SANDRA ROSE MASON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012029

License Status

NOT RENEWED

Business

N

First Name

SANDRA

Middle

ROSE

Last Name

MASON

Business Name

SANDRA ROSE MASON

Original Issue Date

06/11/2007

Effective Date

06/11/2007

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

11/04/2009