KATHY PECK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006314

License Status

NOT RENEWED

Business

First Name

KATHY

Last Name

PECK

Business Name

KATHY PECK

Original Issue Date

12/16/1986

Effective Date

12/16/1986

Expiration Date

09/30/1988

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005