TABITHA LEA HANSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

ACTIVE

Business

Title

DMD

First Name

TABITHA

Middle

LEA

Last Name

HANSON

Business Name

TABITHA LEA HANSON DMD

Original Issue Date

07/02/2022

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

MARSHALL

State

Zip

62441

County

CLARK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024