ANGELA LEE BROCK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008392

License Status

ACTIVE

Business

First Name

ANGELA LEE

Last Name

BROCK

Business Name

ANGELA LEE BROCK

Original Issue Date

10/04/1994

Effective Date

08/18/2024

Expiration Date

09/30/2027

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

08/18/2024