MARIA DIANE MCSHANE - Dentist License in Indiana | # 020004334

MARIA DIANE MCSHANE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004334

License Status

NOT RENEWED

Business

N

First Name

MARIA DIANE

Last Name

MCSHANE

Business Name

MARIA DIANE MCSHANE

Original Issue Date

08/28/1980

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IN

Ever Disciplined

N

LastModifiedDate

11/08/2006