LACEY JAE SOWLE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016462

License Status

ACTIVE

Business

First Name

LACEY

Middle

JAE

Last Name

SOWLE

Business Name

LACEY JAE SOWLE

Original Issue Date

03/18/2019

Effective Date

08/01/2025

Expiration Date

09/30/2027

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

08/01/2025