TRACY R KIEKLAK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010974

License Status

ACTIVE

Business

First Name

TRACY

Middle

Last Name

KIEKLAK

Business Name

TRACY R KIEKLAK

Original Issue Date

06/21/2004

Effective Date

08/06/2024

Expiration Date

09/30/2027

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

08/06/2024