KELLY ANN BORNEMANN - Dentist License in Illinois | # 020013845

KELLY ANN BORNEMANN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013845

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

ANN

Last Name

BORNEMANN

Business Name

KELLY ANN BORNEMANN

Original Issue Date

01/25/2012

Effective Date

08/14/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022