TARA D RAES Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009563

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

RAES

Business Name

TARA D RAES

Original Issue Date

07/19/1999

Effective Date

09/22/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/10/2025