DARIAN SHEA MONTGOMERY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014296

License Status

ACTIVE

Business

First Name

DARIAN

Middle

SHEA

Last Name

MONTGOMERY

Business Name

DARIAN SHEA MONTGOMERY

Original Issue Date

07/01/2013

Effective Date

08/24/2024

Expiration Date

09/30/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/24/2024