KELSEY MICHELE MODAFF Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020018226

License Status

ACTIVE

Business

First Name

KELSEY

Middle

MICHELE

Last Name

MODAFF

Business Name

KELSEY MICHELE MODAFF

Original Issue Date

06/17/2024

Effective Date

06/17/2024

Expiration Date

09/30/2027

City

SUGAR GROVE

State

Zip

60554

County

KANE

Ever Disciplined

LastModifiedDate

05/25/2024