KEENA KAY COFFEY - Dentist License in Illinois | # 020011069

KEENA KAY COFFEY

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011069

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016