TONYA DIANNE SANDSTROM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004484

License Status

ACTIVE

Business

First Name

TONYA DIANNE

Last Name

SANDSTROM

Business Name

TONYA DIANNE SANDSTROM

Original Issue Date

06/25/1981

Effective Date

07/09/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/09/2024