KELLY LYNN STICKNEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015783

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

LYNN

Last Name

STICKNEY

Business Name

KELLY LYNN STICKNEY

Original Issue Date

07/14/2017

Effective Date

07/02/2018

Expiration Date

01/31/2022

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/09/2022