KATHY LYNN GISSELMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004408

License Status

NOT RENEWED

Business

First Name

KATHY LYNN

Last Name

GISSELMAN

Business Name

KATHY LYNN GISSELMAN

Original Issue Date

12/01/1980

Effective Date

09/21/2009

Expiration Date

09/30/2012

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012