KELSEY A BENNETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012519

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

Last Name

BENNETT

Business Name

KELSEY A BENNETT

Original Issue Date

06/25/2008

Effective Date

09/21/2015

Expiration Date

09/30/2018

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/31/2018