KIM GIBBONS HAUG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023903

License Status

ACTIVE

Business

First Name

KIM

Middle

GIBBONS

Last Name

HAUG

Business Name

KIM GIBBONS HAUG

Original Issue Date

07/25/1995

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

09/30/2024