TERESA ANN LARSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001977

License Status

NOT RENEWED

Business

First Name

TERESA ANN

Last Name

LARSON

Business Name

TERESA ANN LARSON

Original Issue Date

07/11/1973

Effective Date

07/02/2018

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/09/2022