LACY R MOFFIT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015615

License Status

ACTIVE

Business

First Name

LACY

Middle

Last Name

MOFFIT

Business Name

LACY R MOFFIT

Original Issue Date

07/27/2016

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

PLEASANT HILL

State

Zip

62366

County

PIKE

Ever Disciplined

LastModifiedDate

09/11/2024