STACY SUZANNE DIAL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009278

License Status

ACTIVE

Business

First Name

STACY

Middle

SUZANNE

Last Name

DIAL

Business Name

STACY SUZANNE DIAL

Original Issue Date

08/14/1998

Effective Date

09/21/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/21/2024