BEVERLY ANN HENRY - Dentist License in Indiana | # 020005592

BEVERLY ANN HENRY

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005592

License Status

NOT RENEWED

Business

N

First Name

BEVERLY ANN

Last Name

HENRY

Business Name

BEVERLY ANN HENRY

Original Issue Date

08/02/1984

Effective Date

08/02/1984

Expiration Date

09/30/1992

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005