EVA MITSDARFFER ALLEN - Dentist License in Indiana | # 020002673

EVA MITSDARFFER ALLEN

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002673

License Status

INACTIVE

Business

N

First Name

EVA MITSDARFFER

Last Name

ALLEN

Business Name

EVA MITSDARFFER ALLEN

Original Issue Date

08/11/1975

Effective Date

08/11/1975

Expiration Date

09/30/2004

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005