KELLY DIANE KRODEL - Dentist License in Indiana | # 020006852

KELLY DIANE KRODEL

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006852

License Status

NOT RENEWED

Business

N

First Name

KELLY DIANE

Last Name

KRODEL

Business Name

KELLY DIANE KRODEL

Original Issue Date

12/09/1988

Effective Date

12/09/1988

Expiration Date

09/30/1998

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005