ALISSA TERESE ANTHONY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032144

License Status

ACTIVE

Business

First Name

ALISSA

Middle

TERESE

Last Name

ANTHONY

Business Name

ALISSA TERESE ANTHONY

Original Issue Date

06/03/2019

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

LOVES PARK

State

Zip

61111

County

BOONE

Ever Disciplined

LastModifiedDate

08/13/2024