SHELBEE RAE RIVARD - Dentist License in Arizona | # 020003258

SHELBEE RAE RIVARD

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003258

License Status

INACTIVE

Business

N

First Name

SHELBEE RAE

Last Name

RIVARD

Business Name

SHELBEE RAE RIVARD

Original Issue Date

07/20/1977

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

AZ

Ever Disciplined

N

LastModifiedDate

07/24/2006