KRISTI LEAH DIETERICH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011813

License Status

ACTIVE

Business

First Name

KRISTI

Middle

LEAH

Last Name

DIETERICH

Business Name

KRISTI LEAH DIETERICH

Original Issue Date

07/18/2006

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

HAMPTON

State

Zip

61256

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/30/2024