SOPHIA S WAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014388

License Status

ACTIVE

Business

First Name

SOPHIA

Middle

Last Name

WAN

Business Name

SOPHIA S WAN

Original Issue Date

07/22/2013

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/26/2024