CASSANDRA MARIE KELLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013009

License Status

NOT RENEWED

Business

First Name

CASSANDRA

Middle

MARIE

Last Name

KELLER

Business Name

CASSANDRA MARIE KELLER

Original Issue Date

07/23/2009

Effective Date

07/23/2009

Expiration Date

09/30/2012

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/14/2012