S JANEL BAST Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014093

License Status

ACTIVE

Business

First Name

Middle

JANEL

Last Name

BAST

Business Name

S JANEL BAST

Original Issue Date

07/30/2012

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

LANARK

State

Zip

61046

County

CARROLL

Ever Disciplined

LastModifiedDate

09/26/2024