KIM K POLK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010386

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

POLK

Business Name

KIM K POLK

Original Issue Date

07/11/2002

Effective Date

09/30/2009

Expiration Date

09/30/2012

City

BALLWIN

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/14/2012