STACEY L KIDD - Dentist License in Illinois | # 020011262

STACEY L KIDD

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011262

License Status

NOT RENEWED

Business

N

First Name

STACEY

Middle

L

Last Name

KIDD

Business Name

STACEY L KIDD

Original Issue Date

03/23/2005

Effective Date

09/23/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018