ALYSSA ANN DE CLUE RDH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014270

License Status

INACTIVE

Business

Title

RDH

First Name

ALYSSA

Middle

ANN

Last Name

DE CLUE

Business Name

ALYSSA ANN DE CLUE RDH

Original Issue Date

04/18/2013

Effective Date

09/25/2018

Expiration Date

12/31/2021

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

12/28/2021