TANNER MICHELLE BREEDLOVE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016379

License Status

ACTIVE

Business

First Name

TANNER

Middle

MICHELLE

Last Name

BREEDLOVE

Business Name

TANNER MICHELLE BREEDLOVE

Original Issue Date

10/04/2018

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

BOLINGBROOK

State

Zip

60440

Ever Disciplined

LastModifiedDate

08/29/2024