KALA J EAST Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012954

License Status

NOT RENEWED

Business

First Name

KALA

Middle

Last Name

EAST

Business Name

KALA J EAST

Original Issue Date

06/29/2009

Effective Date

06/29/2009

Expiration Date

09/30/2012

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

11/14/2012