KIMBERLY MILLER FRED Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006500

License Status

ACTIVE

Business

First Name

KIMBERLY

Last Name

MILLER FRED

Business Name

KIMBERLY MILLER FRED

Original Issue Date

08/15/1987

Effective Date

06/25/2024

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

06/25/2024