KELLYE DEMIAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007418

License Status

NOT RENEWED

Business

First Name

KELLYE

Last Name

DEMIAN

Business Name

KELLYE DEMIAN

Original Issue Date

07/17/1991

Effective Date

07/24/2015

Expiration Date

09/30/2018

City

SERENA

State

Zip

60549

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/31/2018