SARA ALYSIA HANAHAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

ACTIVE

Business

Title

DMD

First Name

SARA

Middle

ALYSIA

Last Name

HANAHAN

Business Name

SARA ALYSIA HANAHAN DMD

Original Issue Date

06/05/2017

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

GODFREY

State

Zip

62035

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/23/2024