LYNN ELLEN HOLM - Dentist License in Indiana | # 020002639

LYNN ELLEN HOLM

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002639

License Status

NOT RENEWED

Business

N

First Name

LYNN ELLEN

Last Name

HOLM

Business Name

LYNN ELLEN HOLM

Original Issue Date

07/29/1975

Effective Date

07/29/1975

Expiration Date

04/01/1982

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005