THERESA LOUISE CHURCH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013451

License Status

ACTIVE

Business

First Name

THERESA

Middle

LOUISE

Last Name

CHURCH

Business Name

THERESA LOUISE CHURCH

Original Issue Date

12/17/2010

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

09/24/2024