TAYLOR PETRICH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032821

License Status

ACTIVE

Business

Title

DMD

First Name

TAYLOR

Last Name

PETRICH

Business Name

TAYLOR PETRICH DMD

Original Issue Date

07/20/2020

Effective Date

07/12/2024

Expiration Date

09/30/2027

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/12/2024