TARA L POWERS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012264

License Status

NOT RENEWED

Business

First Name

TARA L

Last Name

POWERS

Business Name

TARA L POWERS

Original Issue Date

08/16/2007

Effective Date

07/31/2018

Expiration Date

01/31/2022

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

05/09/2022