KAYLA LEE WRAGE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014905

License Status

ACTIVE

Business

First Name

KAYLA

Middle

LEE

Last Name

WRAGE

Business Name

KAYLA LEE WRAGE

Original Issue Date

08/29/2014

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/05/2024