BREANNA N STARK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015224

License Status

ACTIVE

Business

First Name

BREANNA

Middle

Last Name

STARK

Business Name

BREANNA N STARK

Original Issue Date

08/04/2015

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/16/2024