KELLY SAMUELS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017368

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025