KRISTA LEE BONTEMPS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012419

License Status

ACTIVE

Business

First Name

KRISTA

Middle

LEE

Last Name

BONTEMPS

Business Name

KRISTA LEE BONTEMPS

Original Issue Date

06/05/2008

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/26/2024