TANYA L DESANTO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000451

License Status

ACTIVE

Business

First Name

TANYA L

Last Name

DESANTO

Suffix

DDS

Business Name

TANYA L DESANTO DDS

Original Issue Date

02/22/1999

Effective Date

05/31/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

05/31/2024