KIMBERLY MARIE ANDERSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002912

License Status

INACTIVE

Business

First Name

KIMBERLY MARIE

Last Name

ANDERSON

Business Name

KIMBERLY MARIE ANDERSON

Original Issue Date

07/13/1976

Effective Date

11/12/2021

Expiration Date

09/30/2024

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/18/2024