STACIE RENAE KLEIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013511

License Status

ACTIVE

Business

First Name

STACIE

Middle

RENAE

Last Name

KLEIN

Business Name

STACIE RENAE KLEIN

Original Issue Date

04/28/2011

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

ATHENS

State

Zip

62613

County

MENARD

Ever Disciplined

LastModifiedDate

05/04/2025