KIMBERLY SUE NELSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014695

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

SUE

Last Name

NELSON

Business Name

KIMBERLY SUE NELSON

Original Issue Date

07/11/2014

Effective Date

09/01/2024

Expiration Date

09/30/2027

City

DEER CREEK

State

Zip

61733

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/01/2024