HOLLY ANN ANDERSEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012946

License Status

ACTIVE

Business

First Name

HOLLY

Middle

ANN

Last Name

ANDERSEN

Business Name

HOLLY ANN ANDERSEN

Original Issue Date

06/29/2009

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/25/2024