REBECCA ANN KIELB Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010214

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

ANN

Last Name

KIELB

Business Name

REBECCA ANN KIELB

Original Issue Date

12/13/2001

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/08/2006