STACEY ILIANNA RODRIGUEZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016049

License Status

ACTIVE

Business

First Name

STACEY

Middle

ILIANNA

Last Name

RODRIGUEZ

Business Name

STACEY ILIANNA RODRIGUEZ

Original Issue Date

01/23/2018

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2024