CHRISTIANNA POTTER FAULCON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033904

License Status

ACTIVE

Business

First Name

CHRISTIANNA

Middle

POTTER

Last Name

FAULCON

Business Name

CHRISTIANNA POTTER FAULCON

Original Issue Date

07/16/2022

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

MONROE

State

Zip

71201

Ever Disciplined

LastModifiedDate

07/10/2024