KATHLEEN GUSTAFSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006250

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Last Name

GUSTAFSON

Business Name

KATHLEEN GUSTAFSON

Original Issue Date

08/21/1986

Effective Date

12/15/2021

Expiration Date

09/30/2024

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

02/04/2025