STACY LYNN LADAGE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008343

License Status

ACTIVE

Business

First Name

STACY

Middle

LYNN

Last Name

LADAGE

Business Name

STACY LYNN LADAGE

Original Issue Date

08/09/1994

Effective Date

08/06/2024

Expiration Date

09/30/2027

City

PAWNEE

State

Zip

62558

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/06/2024