KATHLEEN SUZANNE HARRIS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003672

License Status

INACTIVE

Business

First Name

KATHLEEN SUZANNE

Last Name

HARRIS

Business Name

KATHLEEN SUZANNE HARRIS

Original Issue Date

08/25/1978

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

06/04/2009