KELLY RENEE EBERSOHL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013078

License Status

ACTIVE

Business

First Name

KELLY

Middle

RENEE

Last Name

EBERSOHL

Business Name

KELLY RENEE EBERSOHL

Original Issue Date

10/29/2009

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

09/26/2024