KELLIE ANNE STREITMATTER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009546

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

ANNE

Last Name

STREITMATTER

Business Name

KELLIE ANNE STREITMATTER

Original Issue Date

07/14/1999

Effective Date

08/06/2018

Expiration Date

01/31/2022

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

05/09/2022