PAULA JEAN KIEL-FAVOR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011082

License Status

NOT RENEWED

Business

First Name

PAULA

Middle

JEAN

Last Name

KIEL-FAVOR

Business Name

PAULA JEAN KIEL-FAVOR

Original Issue Date

07/07/2004

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/04/2009