KIM R BALKEMA - Dentist License in Indiana | # 020011673

KIM R BALKEMA

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011673

License Status

INACTIVE

Business

N

First Name

KIM

Middle

R

Last Name

BALKEMA

Business Name

KIM R BALKEMA

Original Issue Date

06/22/2006

Effective Date

09/10/2015

Expiration Date

09/30/2018

State

IN

Ever Disciplined

N

LastModifiedDate

06/07/2018