ADRIENNE NICOLE KELLY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016932

License Status

ACTIVE

Business

First Name

ADRIENNE

Middle

NICOLE

Last Name

KELLY

Business Name

ADRIENNE NICOLE KELLY

Original Issue Date

08/28/2020

Effective Date

06/28/2024

Expiration Date

09/30/2027

City

PROPHETSTOWN

State

Zip

61277

County

WHITESIDE

Ever Disciplined

LastModifiedDate

06/28/2024