KATHLEEN D HEVRIN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002725

License Status

INACTIVE

Business

First Name

KATHLEEN D

Last Name

HEVRIN

Business Name

KATHLEEN D HEVRIN

Original Issue Date

10/15/1975

Effective Date

07/16/2018

Expiration Date

12/31/2021

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/15/2021