KEELY ELLEN STINNETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011090

License Status

NOT RENEWED

Business

First Name

KEELY

Middle

ELLEN

Last Name

STINNETT

Business Name

KEELY ELLEN STINNETT

Original Issue Date

07/16/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

11/08/2006