THERESA ANN EDMONDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011854

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

ANN

Last Name

EDMONDS

Business Name

THERESA ANN EDMONDS

Original Issue Date

08/11/2006

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/09/2022