Kiesha Dawn Harrell
ExpiredIllinois license 020010012
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020010012
- Status
- Expired (Not Renewed)
- First issued
- June 28, 2001
- Expired
- September 30, 2015
- License holder
- Kiesha Dawn Harrell
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/24/2012
Contact
Metropolis, IL 62960
Massac County