MARY ANN VAN ANTWERP Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003191

License Status

ACTIVE

Business

First Name

MARY ANN

Last Name

VAN ANTWERP

Business Name

MARY ANN VAN ANTWERP

Original Issue Date

07/01/1977

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/16/2024