KIMBERLY R TYSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009810

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

TYSON

Business Name

KIMBERLY R TYSON

Original Issue Date

06/26/2000

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

CHESTNUT

State

Zip

62518

County

LOGAN

Ever Disciplined

LastModifiedDate

09/04/2024