KIESHA DAWN HARRELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010012

License Status

NOT RENEWED

Business

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

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

04/25/2016