KELLY KATHLINE ANDERSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012015

License Status

ACTIVE

Business

First Name

KELLY

Middle

KATHLINE

Last Name

ANDERSON

Business Name

KELLY KATHLINE ANDERSON

Original Issue Date

06/01/2007

Effective Date

08/22/2024

Expiration Date

09/30/2027

City

COAL VALLEY

State

Zip

61240

County

HENRY

Ever Disciplined

LastModifiedDate

08/22/2024