STACEY LYNN HAAS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011758

License Status

ACTIVE

Business

First Name

STACEY

Middle

LYNN

Last Name

HAAS

Business Name

STACEY LYNN HAAS

Original Issue Date

06/28/2006

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/16/2024