KRISTIN MARIE LEWIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012073

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

MARIE

Last Name

LEWIS

Business Name

KRISTIN MARIE LEWIS

Original Issue Date

06/14/2007

Effective Date

06/03/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/03/2024