KIMBERLY ANN BATES Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014955

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

ANN

Last Name

BATES

Business Name

KIMBERLY ANN BATES

Original Issue Date

10/07/2014

Effective Date

08/08/2024

Expiration Date

09/30/2027

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/08/2024