CARLA JO EAGEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010824

License Status

ACTIVE

Business

First Name

CARLA

Middle

Last Name

EAGEN

Business Name

CARLA JO EAGEN

Original Issue Date

10/09/2003

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

09/17/2024