KELLI JO STORM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012407

License Status

ACTIVE

Business

First Name

KELLI

Middle

Last Name

STORM

Business Name

KELLI JO STORM

Original Issue Date

05/28/2008

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

LACON

State

Zip

61540

County

MARSHALL

Ever Disciplined

LastModifiedDate

09/27/2024