LACEY DETWILER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020018088

License Status

ACTIVE

Business

First Name

LACEY

Last Name

DETWILER

Business Name

LACEY DETWILER

Original Issue Date

01/09/2024

Effective Date

08/09/2024

Expiration Date

09/30/2027

City

ST CHARLES

State

Zip

60174

Ever Disciplined

LastModifiedDate

08/09/2024