KELLY DIANE KRODEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006852

License Status

NOT RENEWED

Business

First Name

KELLY DIANE

Last Name

KRODEL

Business Name

KELLY DIANE KRODEL

Original Issue Date

12/09/1988

Effective Date

12/09/1988

Expiration Date

09/30/1998

City

EVANSVILLE

State

Zip

47715

Ever Disciplined

LastModifiedDate

10/12/2005