KATHLEEN S DIRKS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002748

License Status

INACTIVE

Business

First Name

KATHLEEN S

Last Name

DIRKS

Business Name

KATHLEEN S DIRKS

Original Issue Date

12/03/1975

Effective Date

12/03/1975

Expiration Date

09/30/1998

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/12/2005