KELLY MARIE STUAAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014835

License Status

ACTIVE

Business

First Name

KELLY

Middle

MARIE

Last Name

STUAAN

Business Name

KELLY MARIE STUAAN

Original Issue Date

08/04/2014

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

ALEDO

State

Zip

61231

Ever Disciplined

LastModifiedDate

08/13/2024