KATRINA L ZUMBAHLEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011072

License Status

NOT RENEWED

Business

First Name

KATRINA

Middle

Last Name

ZUMBAHLEN

Business Name

KATRINA L ZUMBAHLEN

Original Issue Date

07/06/2004

Effective Date

08/14/2018

Expiration Date

01/31/2022

City

SENECA

State

Zip

61360

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/09/2022