TANI R FUTRELL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017929

License Status

ACTIVE

Business

First Name

TANI

Middle

Last Name

FUTRELL

Business Name

TANI R FUTRELL

Original Issue Date

06/14/2023

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

SANDWICH

State

Zip

60548

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/20/2024