MELODY M PORTER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017000

License Status

ACTIVE

Business

First Name

MELODY

Middle

Last Name

PORTER

Business Name

MELODY M PORTER

Original Issue Date

09/21/2020

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/15/2024