BRENNA ELIZABETH TAVENNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015329

License Status

NOT RENEWED

Business

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

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

02/04/2025