TABITHA LEA HANSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033725

License Status

ACTIVE

Business

Title

DMD

First Name

TABITHA

Middle

LEA

Last Name

HANSON

Business Name

TABITHA LEA HANSON DMD

Original Issue Date

06/08/2022

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

MARSHALL

State

Zip

62441

County

CLARK

Ever Disciplined

LastModifiedDate

08/26/2024