LISA CHARLES - Dentist License in Indiana | # 020008664

LISA CHARLES

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008664

License Status

INACTIVE

Business

N

First Name

LISA

Last Name

CHARLES

Business Name

LISA CHARLES

Original Issue Date

02/23/1996

Effective Date

02/23/1996

Expiration Date

09/30/2000

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005