BROOKLYN FAYE GALLENTINE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016553

License Status

ACTIVE

Business

First Name

BROOKLYN

Middle

FAYE

Last Name

GALLENTINE

Business Name

BROOKLYN FAYE GALLENTINE

Original Issue Date

07/24/2019

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

08/14/2024