KELLY L HARRIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010711

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

HARRIS

Business Name

KELLY L HARRIS

Original Issue Date

07/14/2003

Effective Date

12/16/2021

Expiration Date

09/30/2024

City

GIBSON CITY

State

Zip

60936

County

FORD

Ever Disciplined

LastModifiedDate

02/04/2025