ANNA MICHELE HAGE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015795

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

MICHELE

Last Name

HAGE

Business Name

ANNA MICHELE HAGE

Original Issue Date

07/19/2017

Effective Date

09/05/2018

Expiration Date

01/31/2022

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/09/2022