KELLY LEE HEINE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009706

License Status

ACTIVE

Business

First Name

KELLY

Middle

LEE

Last Name

HEINE

Business Name

KELLY LEE HEINE

Original Issue Date

03/10/2000

Effective Date

09/21/2024

Expiration Date

09/30/2027

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

09/21/2024