STACY MARIE COPELAND Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010816

License Status

ACTIVE

Business

First Name

STACY

Middle

MARIE

Last Name

COPELAND

Business Name

STACY MARIE COPELAND

Original Issue Date

10/06/2003

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2024