STEPHANIE P ERVIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011190

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

ERVIN

Business Name

STEPHANIE P ERVIN

Original Issue Date

10/04/2004

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

09/24/2024