CASSANDRA LEE TACKETT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014445

License Status

ACTIVE

Business

First Name

CASSANDRA

Middle

LEE

Last Name

TACKETT

Business Name

CASSANDRA LEE TACKETT

Original Issue Date

08/02/2013

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/27/2024