SHANTE MARIE TOLLIVER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017389

License Status

ACTIVE

Business

First Name

SHANTE

Middle

MARIE

Last Name

TOLLIVER

Business Name

SHANTE MARIE TOLLIVER

Original Issue Date

08/16/2021

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/17/2024