JILL ANNE KINSELLA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

ACTIVE

Business

First Name

JILL

Middle

ANNE

Last Name

KINSELLA

Suffix

DMD

Business Name

JILL ANNE KINSELLA DMD

Original Issue Date

06/12/2007

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

O FALLON

State

Zip

62269

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2024