MELISSA J FORD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007535

License Status

ACTIVE

Business

First Name

MELISSA J

Last Name

FORD

Business Name

MELISSA J FORD

Original Issue Date

08/26/1991

Effective Date

05/16/2024

Expiration Date

09/30/2027

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/16/2024