KATIE LYN BARNETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016106

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

LYN

Last Name

BARNETT

Business Name

KATIE LYN BARNETT

Original Issue Date

04/02/2018

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

ROXANA

State

Zip

62084

County

MADISON

Ever Disciplined

LastModifiedDate

05/09/2022