KATIE M GILLUM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017517

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

Last Name

GILLUM

Business Name

KATIE M GILLUM

Original Issue Date

01/26/2022

Effective Date

01/26/2022

Expiration Date

09/30/2024

City

BLUFFTON

State

Zip

29910

Ever Disciplined

LastModifiedDate

02/04/2025