MARY JO KETELSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012300

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

KETELSEN

Business Name

MARY JO KETELSEN

Original Issue Date

09/28/2007

Effective Date

07/26/2012

Expiration Date

09/30/2015

City

DEWITT

State

Zip

52742

County

IOWA

Ever Disciplined

LastModifiedDate

04/25/2016