SUSAN SHORE VIGNOLA DDS - Dentist License in Indiana | # 019016683

SUSAN SHORE VIGNOLA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016683

License Status

NOT RENEWED

Business

N

First Name

SUSAN SHORE

Last Name

VIGNOLA

Suffix

DDS

Business Name

SUSAN SHORE VIGNOLA DDS

Original Issue Date

06/29/1979

Effective Date

06/29/1979

Expiration Date

09/30/1988

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005