KELSEY ANN SHEPHERD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016337

License Status

ACTIVE

Business

First Name

KELSEY

Middle

ANN

Last Name

SHEPHERD

Business Name

KELSEY ANN SHEPHERD

Original Issue Date

09/06/2018

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

09/29/2024