KATHY LYNN THOMPSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001523

License Status

NOT RENEWED

Business

First Name

KATHY LYNN

Last Name

THOMPSON

Business Name

KATHY LYNN THOMPSON

Original Issue Date

07/08/1971

Effective Date

08/06/2018

Expiration Date

01/31/2022

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/09/2022