KIM GIBBONS HAUG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001908

License Status

ACTIVE

Business

First Name

KIM

Middle

GIBBONS

Last Name

HAUG

Business Name

KIM GIBBONS HAUG

Original Issue Date

11/10/1998

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

09/30/2024