LACI B DAVAULT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014595

License Status

ACTIVE

Business

First Name

LACI

Middle

Last Name

DAVAULT

Business Name

LACI B DAVAULT

Original Issue Date

01/31/2014

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2024