REGAN ANN SMITH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017169

License Status

ACTIVE

Business

First Name

REGAN

Middle

ANN

Last Name

SMITH

Business Name

REGAN ANN SMITH

Original Issue Date

01/28/2021

Effective Date

08/19/2024

Expiration Date

09/30/2027

City

VILLA GROVE

State

Zip

61956

County

DOUGLAS

Ever Disciplined

LastModifiedDate

08/19/2024