CHLOE BACKOR MADISON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017379

License Status

ACTIVE

Business

First Name

CHLOE

Middle

BACKOR

Last Name

MADISON

Business Name

CHLOE BACKOR MADISON

Original Issue Date

08/11/2021

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/03/2024