ALYSSA SHEA BLAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016667

License Status

ACTIVE

Business

First Name

ALYSSA

Middle

SHEA

Last Name

BLAN

Business Name

ALYSSA SHEA BLAN

Original Issue Date

08/12/2019

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

09/16/2024