MADISON RAE WASSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017875

License Status

ACTIVE

Business

First Name

MADISON

Middle

RAE

Last Name

WASSON

Business Name

MADISON RAE WASSON

Original Issue Date

06/03/2023

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

MANITO

State

Zip

61546

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/16/2024