CORRIE LEE FOX - Dentist License in Indiana | # 020012608

CORRIE LEE FOX

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012608

License Status

NOT RENEWED

Business

N

First Name

CORRIE

Middle

LEE

Last Name

FOX

Business Name

CORRIE LEE FOX

Original Issue Date

07/16/2008

Effective Date

09/08/2009

Expiration Date

09/30/2012

State

IN

Ever Disciplined

N

LastModifiedDate

11/14/2012