SHIRLEY JOANN HAAG - Dentist License in Indiana | # 020004366

SHIRLEY JOANN HAAG

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004366

License Status

NOT RENEWED

Business

N

First Name

SHIRLEY JOANN

Last Name

HAAG

Business Name

SHIRLEY JOANN HAAG

Original Issue Date

09/24/1980

Effective Date

09/24/1980

Expiration Date

09/30/1984

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005