DEANNE LEA HAGENE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016766

License Status

ACTIVE

Business

First Name

DEANNE

Middle

LEA

Last Name

HAGENE

Business Name

DEANNE LEA HAGENE

Original Issue Date

10/15/2019

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

COULTERVILLE

State

Zip

62237

County

PERRY

Ever Disciplined

LastModifiedDate

09/18/2024