JOAN POWERS STANISIC Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002413

License Status

NOT RENEWED

Business

First Name

JOAN POWERS

Last Name

STANISIC

Business Name

JOAN POWERS STANISIC

Original Issue Date

07/03/1974

Effective Date

08/23/2012

Expiration Date

09/30/2015

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

04/25/2016