KATIE C BLACKWELL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015011

License Status

ACTIVE

Business

First Name

KATIE

Middle

Last Name

BLACKWELL

Business Name

KATIE C BLACKWELL

Original Issue Date

02/23/2015

Effective Date

07/25/2024

Expiration Date

09/30/2027

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

07/25/2024