MIRANDA MARIE KRYDER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017644

License Status

ACTIVE

Business

First Name

MIRANDA

Middle

MARIE

Last Name

KRYDER

Business Name

MIRANDA MARIE KRYDER

Original Issue Date

06/29/2022

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2024