STACIA DAWN TAX Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010481

License Status

ACTIVE

Business

First Name

STACIA

Middle

DAWN

Last Name

TAX

Business Name

STACIA DAWN TAX

Original Issue Date

09/27/2002

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2024