TARA JO WESTERN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017672

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

WESTERN

Business Name

TARA JO WESTERN

Original Issue Date

07/11/2022

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

MAHOMET

State

Zip

61853

Ever Disciplined

LastModifiedDate

08/15/2024