AUSTIN LEWIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017903

License Status

ACTIVE

Business

First Name

AUSTIN

Last Name

LEWIS

Business Name

AUSTIN LEWIS

Original Issue Date

06/10/2023

Effective Date

09/10/2024

Expiration Date

09/30/2027

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/10/2024