ERIN E KIRBY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013520

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

Last Name

KIRBY

Business Name

ERIN E KIRBY

Original Issue Date

05/23/2011

Effective Date

05/23/2011

Expiration Date

09/30/2012

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

11/14/2012