JENNIFER L KISSACK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010113

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

KISSACK

Business Name

JENNIFER L KISSACK

Original Issue Date

08/16/2001

Effective Date

07/09/2024

Expiration Date

09/30/2027

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

07/09/2024