TANYA L DESANTO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023556

License Status

ACTIVE

Business

First Name

TANYA L

Last Name

DESANTO

Suffix

DDS

Business Name

TANYA L DESANTO DDS

Original Issue Date

04/18/1994

Effective Date

05/31/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

Ever Disciplined

LastModifiedDate

05/31/2024