MIRIAM LORENA BRISENO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020018089

License Status

ACTIVE

Business

First Name

MIRIAM

Middle

LORENA

Last Name

BRISENO

Business Name

MIRIAM LORENA BRISENO

Original Issue Date

01/09/2024

Effective Date

07/27/2024

Expiration Date

09/30/2027

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2024