KELLY JEAN HANEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016495

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

JEAN

Last Name

HANEY

Business Name

KELLY JEAN HANEY

Original Issue Date

06/14/2019

Effective Date

12/21/2021

Expiration Date

09/30/2024

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/04/2025