THERESA M WESTFALLEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024676

License Status

ACTIVE

Business

First Name

THERESA

Middle

Last Name

WESTFALLEN

Business Name

THERESA M WESTFALLEN

Original Issue Date

03/24/1998

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

WATERFORD

State

Zip

53185

Ever Disciplined

LastModifiedDate

03/07/2025