DIA G MCKILLIP Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002018

License Status

NOT RENEWED

Business

First Name

DIA G

Last Name

MCKILLIP

Business Name

DIA G MCKILLIP

Original Issue Date

07/11/1973

Effective Date

07/06/2015

Expiration Date

09/30/2018

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/31/2018