ELIZABETH WISE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005864

License Status

INACTIVE

Business

First Name

ELIZABETH

Last Name

WISE

Business Name

ELIZABETH WISE

Original Issue Date

07/19/1985

Effective Date

10/08/2021

Expiration Date

09/30/2024

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/30/2024