KATHLEEN LYNN DRAKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013070

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

LYNN

Last Name

DRAKE

Business Name

KATHLEEN LYNN DRAKE

Original Issue Date

10/02/2009

Effective Date

09/28/2012

Expiration Date

09/30/2015

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

04/25/2016