KATHLEEN E TULLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001422

License Status

NOT RENEWED

Business

First Name

KATHLEEN E

Last Name

TULLER

Business Name

KATHLEEN E TULLER

Original Issue Date

02/04/1971

Effective Date

02/04/1971

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005