LISA K MARTIN - Dentist License in Indiana | # 020006880

LISA K MARTIN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006880

License Status

NOT RENEWED

Business

N

First Name

LISA K

Last Name

MARTIN

Business Name

LISA K MARTIN

Original Issue Date

03/04/1989

Effective Date

03/04/1989

Expiration Date

09/30/1990

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005