THERESA ANN DEFASSIO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016501

License Status

ACTIVE

Business

First Name

THERESA

Middle

ANN

Last Name

DEFASSIO

Business Name

THERESA ANN DEFASSIO

Original Issue Date

06/19/2019

Effective Date

08/04/2024

Expiration Date

09/30/2027

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

08/04/2024