ALICIA SUSAN WARD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016437

License Status

ACTIVE

Business

First Name

ALICIA

Middle

SUSAN

Last Name

WARD

Business Name

ALICIA SUSAN WARD

Original Issue Date

02/14/2019

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/24/2024