KRISTI KAY SHIELDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011620

License Status

NOT RENEWED

Business

First Name

KRISTI

Middle

KAY

Last Name

SHIELDS

Business Name

KRISTI KAY SHIELDS

Original Issue Date

03/16/2006

Effective Date

09/04/2012

Expiration Date

09/30/2015

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/25/2016