KAITLYN NICOLE GREENE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015095

License Status

NOT RENEWED

Business

First Name

KAITLYN

Middle

NICOLE

Last Name

GREENE

Business Name

KAITLYN NICOLE GREENE

Original Issue Date

07/21/2015

Effective Date

07/21/2015

Expiration Date

09/30/2018

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/31/2018