PATRICIA L NEEDHAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006695

License Status

NOT RENEWED

Business

First Name

PATRICIA L

Last Name

NEEDHAM

Business Name

PATRICIA L NEEDHAM

Original Issue Date

07/29/1988

Effective Date

12/07/2021

Expiration Date

09/30/2024

City

PEORIA

State

Zip

61604

Ever Disciplined

LastModifiedDate

02/04/2025