KELLY L WOLKEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005857

License Status

ACTIVE

Business

First Name

KELLY L

Last Name

WOLKEN

Business Name

KELLY L WOLKEN

Original Issue Date

07/19/1985

Effective Date

07/21/2024

Expiration Date

09/30/2027

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/21/2024