KELLY MARIE LORUSSO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017077

License Status

ACTIVE

Business

First Name

KELLY

Middle

MARIE

Last Name

LORUSSO

Business Name

KELLY MARIE LORUSSO

Original Issue Date

10/05/2020

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

09/09/2024