STACIE L SHIPMA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017190

License Status

ACTIVE

Business

First Name

STACIE

Middle

Last Name

SHIPMA

Business Name

STACIE L SHIPMA

Original Issue Date

03/01/2021

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

09/29/2024