KELLY DUYTSCHAVER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012662

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

DUYTSCHAVER

Business Name

KELLY DUYTSCHAVER

Original Issue Date

08/20/2008

Effective Date

09/20/2012

Expiration Date

09/30/2015

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

04/25/2016