MARY ANN MORAGA AZUCENA RDH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012530

License Status

ACTIVE

Business

Title

RDH

First Name

MARY ANN

Middle

MORAGA

Last Name

AZUCENA

Business Name

MARY ANN MORAGA AZUCENA RDH

Original Issue Date

06/25/2008

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

LOMBARD

State

Zip

60148

Ever Disciplined

LastModifiedDate

05/07/2024