ANGELA KAY STACEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012666

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

KAY

Last Name

STACEY

Business Name

ANGELA KAY STACEY

Original Issue Date

08/25/2008

Effective Date

10/25/2021

Expiration Date

09/30/2024

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/04/2025