STEPHANIE LYNNE GANNON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014110

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

LYNNE

Last Name

GANNON

Business Name

STEPHANIE LYNNE GANNON

Original Issue Date

07/31/2012

Effective Date

09/21/2024

Expiration Date

09/30/2027

City

NEW LONDON

State

Zip

63459

Ever Disciplined

LastModifiedDate

09/21/2024