TAYLOR A WIEDA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014937

License Status

ACTIVE

Business

First Name

TAYLOR

Middle

Last Name

WIEDA

Business Name

TAYLOR A WIEDA

Original Issue Date

09/25/2014

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

09/23/2024