DANELLE ELEANOR DISTERHOFT - Dentist License in Colorado | # 020002513

DANELLE ELEANOR DISTERHOFT

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002513

License Status

INACTIVE

Business

N

First Name

DANELLE ELEANOR

Last Name

DISTERHOFT

Business Name

DANELLE ELEANOR DISTERHOFT

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/2004

State

CO

Ever Disciplined

N

LastModifiedDate

10/17/2005