KACEY SUZANNE CARLSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010518

License Status

ACTIVE

Business

First Name

KACEY

Middle

SUZANNE

Last Name

CARLSON

Business Name

KACEY SUZANNE CARLSON

Original Issue Date

01/03/2003

Effective Date

07/16/2024

Expiration Date

09/30/2027

City

LEROY

State

Zip

61752

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/16/2024

Case Number

2002007523

Action

Probation

Discipline Start Date

01/03/2003

Discipline End Date

01/03/2006

Discipline Reason

Disclosed on her application that she had been convicted of possession of a controlled substance.