KOURTNEY KAY WILDMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015186

License Status

ACTIVE

Business

First Name

KOURTNEY

Middle

KAY

Last Name

WILDMAN

Business Name

KOURTNEY KAY WILDMAN

Original Issue Date

08/03/2015

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

01/10/2025