KATHLEEN MARIE RESENDIZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011458

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

MARIE

Last Name

RESENDIZ

Business Name

KATHLEEN MARIE RESENDIZ

Original Issue Date

08/05/2005

Effective Date

06/22/2015

Expiration Date

09/30/2018

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/31/2018

Case Number

2015007992

Action

Suspension

Discipline Start Date

01/17/2017

Discipline Reason

for falsifying renewal application and criminal conviction.