KRISTI RENEE TENGOLICS - Dentist License in Indiana | # 020009263

KRISTI RENEE TENGOLICS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009263

License Status

NOT RENEWED

Business

N

First Name

KRISTI

Middle

RENEE

Last Name

TENGOLICS

Business Name

KRISTI RENEE TENGOLICS

Original Issue Date

07/29/1998

Effective Date

07/29/1998

Expiration Date

09/30/2000

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005