VALERIE NICOLE SPIVEY WERNER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000902

License Status

ACTIVE

Business

First Name

VALERIE

Middle

NICOLE

Last Name

SPIVEY WERNER

Suffix

DMD

Business Name

VALERIE NICOLE SPIVEY WERNER DMD

Original Issue Date

10/07/2014

Effective Date

06/21/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

06/21/2024