ELIZABETH LEA BROCKMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017599

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

LEA

Last Name

BROCKMAN

Business Name

ELIZABETH LEA BROCKMAN

Original Issue Date

06/09/2022

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

08/22/2024