SAMANTHA JO KELLERMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012742

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

KELLERMAN

Business Name

SAMANTHA JO KELLERMAN

Original Issue Date

01/26/2009

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

09/27/2024