KATHLLEN S RENNER DMD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041221788

License Status

NOT RENEWED

Business

Title

DMD

First Name

KATHLLEN

Middle

Last Name

RENNER

Business Name

KATHLLEN S RENNER DMD

Original Issue Date

03/06/1984

Effective Date

03/06/1984

Expiration Date

05/31/1998

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006