LORI ANNE WAHL - Dentist License in Indiana | # 020010810

LORI ANNE WAHL

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010810

License Status

INACTIVE

Business

N

First Name

LORI

Middle

ANNE

Last Name

WAHL

Business Name

LORI ANNE WAHL

Original Issue Date

10/06/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IN

Ever Disciplined

N

LastModifiedDate

07/24/2006