THERESA DIANA HAMILTON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011211

License Status

ACTIVE

Business

First Name

THERESA

Middle

DIANA

Last Name

HAMILTON

Business Name

THERESA DIANA HAMILTON

Original Issue Date

11/29/2004

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

ANTIOCH

State

Zip

60002

Ever Disciplined

LastModifiedDate

08/16/2024