JENNIFER L THIEL DDS - Dentist License in Indiana | # 019026500

JENNIFER L THIEL DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026500

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

L

Last Name

THIEL

Suffix

DDS

Business Name

JENNIFER L THIEL DDS

Original Issue Date

06/30/2004

Effective Date

06/29/2009

Expiration Date

09/30/2012

State

IN

Ever Disciplined

N

LastModifiedDate

11/14/2012