SANDRA ANDERSON KLINCK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000508

License Status

NOT RENEWED

Business

First Name

SANDRA ANDERSON

Last Name

KLINCK

Business Name

SANDRA ANDERSON KLINCK

Original Issue Date

07/24/1961

Effective Date

08/10/2009

Expiration Date

09/30/2012

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/14/2012