KEISHA LYNN BUTLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016661

License Status

NOT RENEWED

Business

First Name

KEISHA

Middle

LYNN

Last Name

BUTLER

Business Name

KEISHA LYNN BUTLER

Original Issue Date

08/10/2019

Effective Date

08/10/2019

Expiration Date

01/31/2022

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

05/09/2022