KIM R WHITE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005627

License Status

ACTIVE

Business

First Name

KIM R

Last Name

WHITE

Business Name

KIM R WHITE

Original Issue Date

08/16/1984

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/16/2024