KRISTA FAWN ROHL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012102

License Status

ACTIVE

Business

First Name

KRISTA

Middle

FAWN

Last Name

ROHL

Business Name

KRISTA FAWN ROHL

Original Issue Date

06/19/2007

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/05/2024