TINA MARIE KIDWELL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009284

License Status

ACTIVE

Business

First Name

TINA

Middle

MARIE

Last Name

KIDWELL

Business Name

TINA MARIE KIDWELL

Original Issue Date

08/14/1998

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/06/2024