MIRANDA LEE WHITE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010294

License Status

ACTIVE

Business

First Name

MIRANDA

Middle

LEE

Last Name

WHITE

Business Name

MIRANDA LEE WHITE

Original Issue Date

06/11/2002

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

09/17/2024