SOPHIA LANGE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016983

License Status

ACTIVE

Business

First Name

SOPHIA

Last Name

LANGE

Business Name

SOPHIA LANGE

Original Issue Date

09/16/2020

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/16/2024