MIRANDA LOUISE FOSTER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

ACTIVE

Business

Title

DDS

First Name

MIRANDA

Middle

LOUISE

Last Name

FOSTER

Business Name

MIRANDA LOUISE FOSTER DDS

Original Issue Date

02/14/2025

Effective Date

02/14/2025

Expiration Date

09/30/2027

City

PROPHETSTOWN

State

Zip

61277

County

WHITESIDE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2025