LARISSA ANN BRANDT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016899

License Status

ACTIVE

Business

First Name

LARISSA

Middle

ANN

Last Name

BRANDT

Business Name

LARISSA ANN BRANDT

Original Issue Date

08/12/2020

Effective Date

07/25/2024

Expiration Date

09/30/2027

City

MOKENA

State

Zip

60448

Ever Disciplined

LastModifiedDate

10/30/2024