CHELSEA R BLACK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015698

License Status

ACTIVE

Business

First Name

CHELSEA

Middle

Last Name

BLACK

Business Name

CHELSEA R BLACK

Original Issue Date

01/12/2017

Effective Date

09/13/2024

Expiration Date

09/30/2027

City

AUBURN

State

Zip

62615

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/13/2024