JUSTINE MARIE GREEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015245

License Status

ACTIVE

Business

First Name

JUSTINE

Middle

MARIE

Last Name

GREEN

Business Name

JUSTINE MARIE GREEN

Original Issue Date

08/05/2015

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

CAPRON

State

Zip

61012

County

BOONE

Ever Disciplined

LastModifiedDate

08/30/2024