BRIENNE MARIE KENNEDY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014104

License Status

ACTIVE

Business

First Name

BRIENNE

Middle

MARIE

Last Name

KENNEDY

Business Name

BRIENNE MARIE KENNEDY

Original Issue Date

07/31/2012

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/29/2024