KATHIE LYNN MAXWELL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001443

License Status

ACTIVE

Business

First Name

KATHIE LYNN

Last Name

MAXWELL

Business Name

KATHIE LYNN MAXWELL

Original Issue Date

07/08/1971

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/29/2024