KELLI LENEE OWEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009545

License Status

INACTIVE

Business

First Name

KELLI

Middle

LENEE

Last Name

OWEN

Business Name

KELLI LENEE OWEN

Original Issue Date

07/14/1999

Effective Date

07/14/1999

Expiration Date

09/30/2000

City

LAKESIDE

State

Zip

92040

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005