KELLII KATHLEEN GRIST Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013575

License Status

ACTIVE

Business

First Name

KELLII

Middle

KATHLEEN

Last Name

GRIST

Business Name

KELLII KATHLEEN GRIST

Original Issue Date

07/01/2011

Effective Date

07/26/2024

Expiration Date

09/30/2027

City

BOLINGBROOK

State

Zip

60490

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/26/2024