KIMBERLY LYNN TENNICOTT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010501

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

LYNN

Last Name

TENNICOTT

Business Name

KIMBERLY LYNN TENNICOTT

Original Issue Date

10/17/2002

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

DYER

State

Zip

46311

County

LAKE

Ever Disciplined

LastModifiedDate

09/26/2024