KELLIE JEAN SYVERTSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013840

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

JEAN

Last Name

SYVERTSEN

Business Name

KELLIE JEAN SYVERTSEN

Original Issue Date

01/04/2012

Effective Date

07/28/2015

Expiration Date

09/30/2018

City

SPOFFORD

State

Zip

03462

County

NEW HAMPSHIRE

Ever Disciplined

LastModifiedDate

10/31/2018