KELLY A BROOKMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007834

License Status

ACTIVE

Business

First Name

KELLY A

Last Name

BROOKMAN

Business Name

KELLY A BROOKMAN

Original Issue Date

09/29/1992

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

09/27/2024