MICHELLE ROSE MADERA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013658

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

ROSE

Last Name

MADERA

Business Name

MICHELLE ROSE MADERA

Original Issue Date

07/12/2011

Effective Date

05/27/2024

Expiration Date

09/30/2027

City

CRESTWOOD

State

Zip

60418

County

COOK

Ever Disciplined

LastModifiedDate

05/27/2024