MARCIA EILLEEN GRESBACK - Dentist License in Indiana | # 020003996

MARCIA EILLEEN GRESBACK

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003996

License Status

INACTIVE

Business

N

First Name

MARCIA EILLEEN

Last Name

GRESBACK

Business Name

MARCIA EILLEEN GRESBACK

Original Issue Date

09/05/1979

Effective Date

09/05/1979

Expiration Date

09/30/1992

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005