Kimberly Jean Audetat
InactiveIllinois license 020012684
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020012684
- Status
- Inactive
- First issued
- September 18, 2008
- Expired
- September 30, 2015
- License holder
- Kimberly Jean Audetat
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/26/2012
Contact
Lake Geneva, WI 53147
Wisconsin County