KIESHA DAWN HARRELL - Dentist License in Illinois | # 020010012

KIESHA DAWN HARRELL

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010012

License Status

NOT RENEWED

Business

N

First Name

KIESHA

Middle

DAWN

Last Name

HARRELL

Business Name

KIESHA DAWN HARRELL

Original Issue Date

06/28/2001

Effective Date

09/24/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016