KELLY SAMUELS - Dentist License in Illinois | # 020017368

KELLY SAMUELS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017368

License Status

NOT RENEWED

Business

N

First Name

KELLY

Last Name

SAMUELS

Business Name

KELLY SAMUELS

Original Issue Date

08/02/2021

Effective Date

08/02/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025