ANITA MARIE FAUTH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007689

License Status

ACTIVE

Business

First Name

ANITA MARIE

Last Name

FAUTH

Business Name

ANITA MARIE FAUTH

Original Issue Date

07/08/1992

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

UTICA

State

Zip

61373

County

LA SALLE

Ever Disciplined

LastModifiedDate

08/29/2024