STACI L STEPHENSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007187

License Status

ACTIVE

Business

First Name

STACI

Middle

Last Name

STEPHENSON

Business Name

STACI L STEPHENSON

Original Issue Date

07/19/1990

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

DAWSON

State

Zip

62520

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/02/2024