NANCY KAY BLACKBURN - Dentist License in Indiana | # 020000430

NANCY KAY BLACKBURN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000430

License Status

NOT RENEWED

Business

N

First Name

NANCY KAY

Last Name

BLACKBURN

Business Name

NANCY KAY BLACKBURN

Original Issue Date

07/29/1959

Effective Date

07/29/1959

Expiration Date

09/30/1986

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005