KRISTINA NICHOLE HAGENE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015702

License Status

ACTIVE

Business

First Name

KRISTINA

Middle

NICHOLE

Last Name

HAGENE

Business Name

KRISTINA NICHOLE HAGENE

Original Issue Date

01/31/2017

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

08/27/2024