STACI MARIE ANDERSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015550

License Status

ACTIVE

Business

First Name

STACI

Middle

MARIE

Last Name

ANDERSON

Business Name

STACI MARIE ANDERSON

Original Issue Date

07/11/2016

Effective Date

09/28/2024

Expiration Date

09/30/2027

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/28/2024