ANDREA DAVISSON KENNA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003425

License Status

INACTIVE

Business

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

City

EAST DUBUQUE

State

Zip

61025

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

10/12/2005