KELSEY LEE SUNDERLAGE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016153

License Status

ACTIVE

Business

First Name

KELSEY

Middle

LEE

Last Name

SUNDERLAGE

Business Name

KELSEY LEE SUNDERLAGE

Original Issue Date

06/21/2018

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

GENOA

State

Zip

60135

County

DEKALB

Ever Disciplined

LastModifiedDate

09/05/2024