TYREL LARSEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003269

License Status

ACTIVE

Business

First Name

TYREL

Last Name

LARSEN

Business Name

TYREL LARSEN

Original Issue Date

07/17/2023

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS

Ever Disciplined

LastModifiedDate

09/06/2024