GRACE LEIGH DANE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016580

License Status

ACTIVE

Business

First Name

GRACE

Middle

LEIGH

Last Name

DANE

Business Name

GRACE LEIGH DANE

Original Issue Date

07/27/2019

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

08/20/2024