KIMBERLY LOU BROOKHART Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003957

License Status

INACTIVE

Business

First Name

KIMBERLY LOU

Last Name

BROOKHART

Business Name

KIMBERLY LOU BROOKHART

Original Issue Date

08/03/1979

Effective Date

08/03/1979

Expiration Date

09/30/1992

City

TIPP CITY

State

Zip

45371

County

OHIO

Ever Disciplined

LastModifiedDate

10/12/2005