KELLY BURGESS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016707

License Status

ACTIVE

Business

First Name

KELLY

Last Name

BURGESS

Business Name

KELLY BURGESS

Original Issue Date

08/29/2019

Effective Date

07/28/2024

Expiration Date

09/30/2027

City

HAMMOND

State

Zip

46324

Ever Disciplined

LastModifiedDate

07/28/2024