KATHLEEN K THACKER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006818

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

THACKER

Business Name

KATHLEEN K THACKER

Original Issue Date

09/24/1988

Effective Date

09/08/2015

Expiration Date

09/30/2018

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/31/2018