KIM L STEVENS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008930

License Status

NOT RENEWED

Business

First Name

KIM L

Last Name

STEVENS

Business Name

KIM L STEVENS

Original Issue Date

04/29/1997

Effective Date

04/29/1997

Expiration Date

09/30/2002

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005