KELSI RENAE ROACH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016204

License Status

ACTIVE

Business

First Name

KELSI

Middle

RENAE

Last Name

ROACH

Business Name

KELSI RENAE ROACH

Original Issue Date

07/18/2018

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

GIBSON CITY

State

Zip

60936

County

FORD

Ever Disciplined

LastModifiedDate

09/27/2024