TERESA ANNETTE WELLS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002159

License Status

NOT RENEWED

Business

First Name

TERESA ANNETTE

Last Name

WELLS

Business Name

TERESA ANNETTE WELLS

Original Issue Date

02/05/1974

Effective Date

02/05/1974

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005