TRISTAN KYLE HARRISON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017666

License Status

ACTIVE

Business

First Name

TRISTAN

Middle

KYLE

Last Name

HARRISON

Business Name

TRISTAN KYLE HARRISON

Original Issue Date

07/07/2022

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/25/2024