REGINA G COFFIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012865

License Status

ACTIVE

Business

First Name

REGINA

Middle

Last Name

COFFIN

Business Name

REGINA G COFFIN

Original Issue Date

06/17/2009

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/04/2024