EMILY EDNA KALLAL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014600

License Status

ACTIVE

Business

First Name

EMILY

Middle

EDNA

Last Name

KALLAL

Business Name

EMILY EDNA KALLAL

Original Issue Date

02/10/2014

Effective Date

08/12/2024

Expiration Date

09/30/2027

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

08/12/2024