BETH ANN STAAKE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014256

License Status

ACTIVE

Business

First Name

BETH

Middle

ANN

Last Name

STAAKE

Business Name

BETH ANN STAAKE

Original Issue Date

03/18/2013

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

MEREDOSIA

State

Zip

62665

County

MORGAN

Ever Disciplined

LastModifiedDate

08/13/2024