CLARA MAE TILLERY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012365

License Status

ACTIVE

Business

First Name

CLARA

Middle

MAE

Last Name

TILLERY

Business Name

CLARA MAE TILLERY

Original Issue Date

01/30/2008

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

09/30/2024