KELLIE LEA WEST Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010208

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

LEA

Last Name

WEST

Business Name

KELLIE LEA WEST

Original Issue Date

11/19/2001

Effective Date

11/19/2001

Expiration Date

09/30/2004

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005