MICHELLE RENE HANSEN - Dentist License in Illinois | # 020013448

MICHELLE RENE HANSEN

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013448

License Status

INACTIVE

Business

N

First Name

MICHELLE

Middle

RENE

Last Name

HANSEN

Business Name

MICHELLE RENE HANSEN

Original Issue Date

12/14/2010

Effective Date

09/23/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/07/2018