PAMELA SUE KIESER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001699

License Status

INACTIVE

Business

First Name

PAMELA SUE

Last Name

KIESER

Business Name

PAMELA SUE KIESER

Original Issue Date

07/13/1972

Effective Date

07/13/1972

Expiration Date

09/30/1998

City

AUBURN

State

Zip

62615

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/12/2005