KYLE RAE CANNON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015013

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

RAE

Last Name

CANNON

Business Name

KYLE RAE CANNON

Original Issue Date

02/25/2015

Effective Date

09/12/2021

Expiration Date

09/30/2024

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/04/2025