BROOK DEANNE CARLSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012124

License Status

ACTIVE

Business

First Name

BROOK

Middle

DEANNE

Last Name

CARLSON

Business Name

BROOK DEANNE CARLSON

Original Issue Date

06/21/2007

Effective Date

09/13/2024

Expiration Date

09/30/2027

City

CAMBRIDGE

State

Zip

61238

County

HENRY

Ever Disciplined

LastModifiedDate

09/13/2024