Alyssa Southard
ActiveIllinois license 019034495
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019034495
- Status
- Active
- First issued
- July 6, 2023
- Expires
- September 30, 2027
- License holder
- Alyssa Southard
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 08/26/2024
Contact
Wilmington, DE 19805