TAYLOR LYNN BLACK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015656

License Status

ACTIVE

Business

First Name

TAYLOR

Middle

LYNN

Last Name

BLACK

Business Name

TAYLOR LYNN BLACK

Original Issue Date

08/26/2016

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

GRAND RIDGE

State

Zip

61325

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/11/2024