MARISSA LYNN PREVETT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015401

License Status

ACTIVE

Business

First Name

MARISSA

Middle

LYNN

Last Name

PREVETT

Business Name

MARISSA LYNN PREVETT

Original Issue Date

06/10/2016

Effective Date

08/01/2024

Expiration Date

09/30/2027

City

PAWNEE

State

Zip

62558

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/01/2024