KELLY RAE HITCHCOCK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013540

License Status

ACTIVE

Business

First Name

KELLY

Middle

RAE

Last Name

HITCHCOCK

Business Name

KELLY RAE HITCHCOCK

Original Issue Date

06/23/2011

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2024