AMY B KLOMP - Dentist License in Indiana | # 020011027

AMY B KLOMP

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011027

License Status

INACTIVE

Business

N

First Name

AMY

Middle

B

Last Name

KLOMP

Business Name

AMY B KLOMP

Original Issue Date

06/25/2004

Effective Date

10/01/2012

Expiration Date

09/30/2015

State

IN

Ever Disciplined

N

LastModifiedDate

06/08/2015