THERESA KLOCEK WHITE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003679

License Status

ACTIVE

Business

First Name

THERESA

Last Name

KLOCEK WHITE

Business Name

THERESA KLOCEK WHITE

Original Issue Date

08/25/1978

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

09/19/2024