KATHY SUE COFFEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003816

License Status

NOT RENEWED

Business

First Name

KATHY SUE

Last Name

COFFEY

Business Name

KATHY SUE COFFEY

Original Issue Date

06/29/1979

Effective Date

08/11/2015

Expiration Date

09/30/2018

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/31/2018