JENNIFER SUE KISTNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010551

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

SUE

Last Name

KISTNER

Business Name

JENNIFER SUE KISTNER

Original Issue Date

03/05/2003

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

CAMBRIA

State

Zip

62915

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

08/14/2024