KELLY LYNN GERICKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014208

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

LYNN

Last Name

GERICKE

Business Name

KELLY LYNN GERICKE

Original Issue Date

11/07/2012

Effective Date

11/07/2012

Expiration Date

09/30/2015

City

DAVENPORT

State

Zip

52804

County

IOWA

Ever Disciplined

LastModifiedDate

04/25/2016