ELYSE SAMANTHA TRIPP Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010743

License Status

ACTIVE

Business

First Name

ELYSE

Middle

SAMANTHA

Last Name

TRIPP

Business Name

ELYSE SAMANTHA TRIPP

Original Issue Date

08/04/2003

Effective Date

05/09/2024

Expiration Date

09/30/2027

City

AUBURN

State

Zip

62615

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/09/2024