KELLYANN M ANDERSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007163

License Status

ACTIVE

Business

First Name

KELLYANN M

Last Name

ANDERSON

Business Name

KELLYANN M ANDERSON

Original Issue Date

07/19/1990

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/27/2024