RENEE L POLSTON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006774

License Status

ACTIVE

Business

First Name

RENEE L

Last Name

POLSTON

Business Name

RENEE L POLSTON

Original Issue Date

08/13/1988

Effective Date

09/08/2024

Expiration Date

09/30/2027

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/08/2024