LATASHA MILLS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012322

License Status

ACTIVE

Business

First Name

LATASHA

Last Name

MILLS

Business Name

LATASHA MILLS

Original Issue Date

11/08/2007

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

08/29/2024

Case Number

2007006621

Action

Reprimand

Discipline Start Date

11/08/2007

Discipline Reason

for failure to fully disclose her history of convictions on her application.