KRYSTA LYN HENNINGFIELD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016737

License Status

ACTIVE

Business

First Name

KRYSTA

Middle

LYN

Last Name

HENNINGFIELD

Business Name

KRYSTA LYN HENNINGFIELD

Original Issue Date

09/05/2019

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

SALEM

State

Zip

53168

Ever Disciplined

LastModifiedDate

12/12/2024