NISSA LATHAM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020018368

License Status

ACTIVE

Business

First Name

NISSA

Last Name

LATHAM

Business Name

NISSA LATHAM

Original Issue Date

08/08/2024

Effective Date

08/08/2024

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

Ever Disciplined

LastModifiedDate

07/24/2024