MELISSA DALE ANDERSON - Dentist License in Indiana | # 020008668

MELISSA DALE ANDERSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008668

License Status

NOT RENEWED

Business

N

First Name

MELISSA DALE

Last Name

ANDERSON

Business Name

MELISSA DALE ANDERSON

Original Issue Date

04/04/1996

Effective Date

04/04/1996

Expiration Date

09/30/1998

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005