KATHERINE LEANN WHITEHEAD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016033

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

LEANN

Last Name

WHITEHEAD

Business Name

KATHERINE LEANN WHITEHEAD

Original Issue Date

01/03/2018

Effective Date

01/03/2018

Expiration Date

09/30/2018

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/19/2019