ANDREA DAVISSON KENNA - Dentist License in Illinois | # 020003425

ANDREA DAVISSON KENNA

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003425

License Status

INACTIVE

Business

N

First Name

ANDREA

Middle

DAVISSON

Last Name

KENNA

Business Name

ANDREA DAVISSON KENNA

Original Issue Date

02/09/1978

Effective Date

02/09/1978

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005