MELISSA KATHRYN ROEHM STIGALL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002189

License Status

ACTIVE

Business

First Name

MELISSA KATHRYN

Middle

ROEHM

Last Name

STIGALL

Suffix

DDS

Business Name

MELISSA KATHRYN ROEHM STIGALL DDS

Original Issue Date

08/14/2006

Effective Date

07/09/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

LastModifiedDate

07/09/2024