KIMBERLEY E ANDERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008940

License Status

NOT RENEWED

Business

First Name

KIMBERLEY E

Last Name

ANDERSON

Business Name

KIMBERLEY E ANDERSON

Original Issue Date

05/30/1997

Effective Date

05/30/1997

Expiration Date

09/30/1998

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/12/2005