AUDREY KYANA LA'COLE FIELDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031776

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

KYANA LA'COLE

Last Name

FIELDS

Business Name

AUDREY KYANA LA'COLE FIELDS

Original Issue Date

07/03/2018

Effective Date

07/03/2018

Expiration Date

01/31/2022

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/09/2022