BRENNA ELIZABETH TAVENNER - Dentist License in Illinois | # 020015329

BRENNA ELIZABETH TAVENNER

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015329

License Status

NOT RENEWED

Business

N

First Name

BRENNA

Middle

ELIZABETH

Last Name

TAVENNER

Business Name

BRENNA ELIZABETH TAVENNER

Original Issue Date

11/03/2015

Effective Date

12/20/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025