STEPHANIE MARIE SPANN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010366

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

MARIE

Last Name

SPANN

Business Name

STEPHANIE MARIE SPANN

Original Issue Date

07/08/2002

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/04/2009