KERI S DUVENDACK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010699

License Status

ACTIVE

Business

First Name

KERI

Middle

Last Name

DUVENDACK

Business Name

KERI S DUVENDACK

Original Issue Date

07/09/2003

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/05/2024