KAYLA MARIE PETERSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016301

License Status

ACTIVE

Business

First Name

KAYLA

Middle

MARIE

Last Name

PETERSON

Business Name

KAYLA MARIE PETERSON

Original Issue Date

08/15/2018

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

08/20/2024