MELISSA A GORSUCH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011067

License Status

ACTIVE

Business

First Name

MELISSA

Middle

Last Name

GORSUCH

Business Name

MELISSA A GORSUCH

Original Issue Date

07/02/2004

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

IPAVA

State

Zip

61441

County

FULTON

Ever Disciplined

LastModifiedDate

09/17/2024