KELLY KENTNER FITZGERALD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005188

License Status

ACTIVE

Business

First Name

KELLY KENTNER

Last Name

FITZGERALD

Business Name

KELLY KENTNER FITZGERALD

Original Issue Date

06/06/1983

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/27/2024