KELLI L NORMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013150

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

Last Name

NORMAN

Business Name

KELLI L NORMAN

Original Issue Date

04/22/2010

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

WALNUT HILL

State

Zip

62893

County

MARION

Ever Disciplined

LastModifiedDate

04/25/2016