KAITLAN FENNELL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016292

License Status

ACTIVE

Business

First Name

KAITLAN

Last Name

FENNELL

Business Name

KAITLAN FENNELL

Original Issue Date

08/13/2018

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2024