SOPHIE ROSE FULTZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020018193

License Status

ACTIVE

Business

First Name

SOPHIE

Middle

ROSE

Last Name

FULTZ

Business Name

SOPHIE ROSE FULTZ

Original Issue Date

06/10/2024

Effective Date

06/10/2024

Expiration Date

09/30/2027

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/09/2024