KYLIE LEEANN GOOSTREE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017392

License Status

ACTIVE

Business

First Name

KYLIE

Middle

LEEANN

Last Name

GOOSTREE

Business Name

KYLIE LEEANN GOOSTREE

Original Issue Date

08/17/2021

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

08/27/2024