STACEY M VON BEHREN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013025

License Status

ACTIVE

Business

First Name

STACEY

Middle

Last Name

VON BEHREN

Business Name

STACEY M VON BEHREN

Original Issue Date

08/05/2009

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2024