KELLIE MARIE KOERNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014297

License Status

ACTIVE

Business

First Name

KELLIE

Middle

MARIE

Last Name

KOERNER

Business Name

KELLIE MARIE KOERNER

Original Issue Date

07/02/2013

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

LE ROY

State

Zip

61752

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/29/2024