TRACEY C KORNBRUST Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007254

License Status

ACTIVE

Business

First Name

TRACEY C

Last Name

KORNBRUST

Business Name

TRACEY C KORNBRUST

Original Issue Date

07/27/1990

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

09/25/2024