KRISTEN HENNINGER WALL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010378

License Status

ACTIVE

Business

First Name

KRISTEN

Last Name

HENNINGER WALL

Business Name

KRISTEN HENNINGER WALL

Original Issue Date

07/09/2002

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/16/2024