STACY LEEANN HOUK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011289

License Status

ACTIVE

Business

First Name

STACY

Middle

LEEANN

Last Name

HOUK

Business Name

STACY LEEANN HOUK

Original Issue Date

05/31/2005

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

ASSUMPTION

State

Zip

62510

County

SHELBY

Ever Disciplined

LastModifiedDate

09/03/2024