KIMBERLY A GILLISPIE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013799

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

GILLISPIE

Business Name

KIMBERLY A GILLISPIE

Original Issue Date

09/21/2011

Effective Date

09/25/2012

Expiration Date

09/30/2015

City

MESA

State

Zip

85207

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/25/2016