ADDIE JANE COFFEY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016544

License Status

ACTIVE

Business

First Name

ADDIE

Middle

JANE

Last Name

COFFEY

Business Name

ADDIE JANE COFFEY

Original Issue Date

07/22/2019

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/02/2024