KATIE REBEKAH KICKERTZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029261

License Status

NOT RENEWED

Business

Title

DDS

First Name

KATIE

Middle

REBEKAH

Last Name

KICKERTZ

Business Name

KATIE REBEKAH KICKERTZ DDS

Original Issue Date

09/28/2012

Effective Date

06/11/2015

Expiration Date

09/30/2018

City

CHARLOTTE

State

Zip

28277

Ever Disciplined

LastModifiedDate

10/31/2018