KELLIE A GARDNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007938

License Status

ACTIVE

Business

First Name

KELLIE A

Last Name

GARDNER

Business Name

KELLIE A GARDNER

Original Issue Date

07/14/1993

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/25/2024