KEENA KAY COFFEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011069

License Status

NOT RENEWED

Business

First Name

KEENA

Middle

KAY

Last Name

COFFEY

Business Name

KEENA KAY COFFEY

Original Issue Date

07/06/2004

Effective Date

08/20/2012

Expiration Date

09/30/2015

City

NORRIS

State

Zip

61553

County

FULTON

Ever Disciplined

LastModifiedDate

04/25/2016