TABITHA A SAMPSON - Dentist License in Illinois | # 020012049

TABITHA A SAMPSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012049

License Status

NOT RENEWED

Business

N

First Name

TABITHA

Middle

A

Last Name

SAMPSON

Business Name

TABITHA A SAMPSON

Original Issue Date

06/13/2007

Effective Date

09/26/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022