KELLI S HENNING Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014146

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

Last Name

HENNING

Business Name

KELLI S HENNING

Original Issue Date

08/13/2012

Effective Date

08/06/2018

Expiration Date

01/31/2022

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/09/2022