MICHELLE NICOLE HORST Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

NICOLE

Last Name

HORST

Business Name

MICHELLE NICOLE HORST

Original Issue Date

06/06/2013

Effective Date

06/26/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2024