MEGAN MARIE DANIELS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030770

License Status

INACTIVE

Business

Title

DDS

First Name

MEGAN

Middle

MARIE

Last Name

DANIELS

Business Name

MEGAN MARIE DANIELS DDS

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/07/2018