SANDRA BETH NIDETZ - Dentist License in Arizona | # 020005598

SANDRA BETH NIDETZ

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005598

License Status

INACTIVE

Business

N

First Name

SANDRA BETH

Last Name

NIDETZ

Business Name

SANDRA BETH NIDETZ

Original Issue Date

08/02/1984

Effective Date

06/07/2018

Expiration Date

09/30/2021

State

AZ

Ever Disciplined

N

LastModifiedDate

06/12/2018