KATHRYN LOUISE GRACE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012920

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

LOUISE

Last Name

GRACE

Business Name

KATHRYN LOUISE GRACE

Original Issue Date

06/24/2009

Effective Date

11/06/2021

Expiration Date

09/30/2024

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/04/2025