MARIGENE CHASE - Dentist License in Indiana | # 020002587

MARIGENE CHASE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002587

License Status

NOT RENEWED

Business

N

First Name

MARIGENE

Last Name

CHASE

Business Name

MARIGENE CHASE

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/2002

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005