KIRSTIN LOUISE WELLMAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009592

License Status

INACTIVE

Business

First Name

KIRSTIN

Middle

LOUISE

Last Name

WELLMAN

Business Name

KIRSTIN LOUISE WELLMAN

Original Issue Date

08/06/1999

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

06/04/2009