JACQUELYN EMILIE KINGSFIELD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000503

License Status

NOT RENEWED

Business

First Name

JACQUELYN EMILIE

Last Name

KINGSFIELD

Business Name

JACQUELYN EMILIE KINGSFIELD

Original Issue Date

12/14/1960

Effective Date

10/03/2018

Expiration Date

01/31/2022

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/09/2022