SAMANTHA JO KELLERMAN - Dentist License in Illinois | # 020012742

SAMANTHA JO KELLERMAN

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012742

License Status

ACTIVE

Business

N

First Name

SAMANTHA

Middle

JO

Last Name

KELLERMAN

Business Name

SAMANTHA JO KELLERMAN

Original Issue Date

01/26/2009

Effective Date

05/01/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2024